Jester, Samantha Lynn

Jester, Samantha Lynn is an individual health care provider with primary practice located at 1215 Lawn Ave Ste 100 , Elkhart IN 46514-2450. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Jester, Samantha Lynn can be contacted via phone (574) 293-2893.

Contact Information

Primary practice address
1215 Lawn Ave Ste 100 Elkhart IN 46514-2450
Phone: (574) 293-2893
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 09000306A Indiana

Profile Details

NPI number 1275041865
LBN Legal business name Jester, Samantha Lynn
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2018
Last updated Nov 1st, 2023 - about 2 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275041865 NPPES
Indiana MEDICAID 300010291

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