SAMANTHA JACKSON
Nurse Practitioner
Active
Individual
NPI: 1922855295
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 11032487 (FL) |
Frequently Asked Questions
NPI 1922855295 is the National Provider Identifier for SAMANTHA JACKSON, a Nurse Practitioner provider located in Belleview, FL. This NPI was enumerated on May 3, 2024.
SAMANTHA JACKSON practices at 5051 SE 110TH ST, Belleview, FL 34420.
Quick Facts
- NPI
- 1922855295
- Type
- Individual
- Enumerated
- May 3, 2024
- Last Updated
- Aug 20, 2025
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