Kendra Iesha Samuel, FNP
NPI #1386125383 in Wiggins, Mississippi
Provider Information
- NPI Number
- 1386125383
- Entity Type
- Individual
- Name
- Kendra Iesha Samuel, FNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Aug 27, 2018
- Last Updated
- Oct 22, 2020
Practice Location
- Address
- 1434 CENTRAL AVE E
- City
- Wiggins
- State
- Mississippi
- ZIP Code
- 39577-9602
- Phone
- (601) 928-6600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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