Jackson, Samantha

Jackson, Samantha is an individual health care provider with primary practice located at 10696 Se Us Highway 441 , Belleview FL 34420-2802. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jackson, Samantha can be contacted via phone (352) 245-1111.

Contact Information

Primary practice address

10696 Se Us Highway 441 Belleview FL 34420-2802

Phone: (352) 245-1111

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner	363L00000X	11032487	Florida

Profile Details

NPI number	1922855295
LBN Legal business name	Jackson, Samantha
Credentials
Entity	Individual
Sole proprietor ¹	No
Enumeration date	May 3rd, 2024
Last updated	May 3rd, 2024 - about 6 months ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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