Jennifer M Sample, PA-C

NPI #1902000714 in Mentor, Ohio

Provider Information

NPI Number: 1902000714
Entity Type: Individual
Name: Jennifer M Sample, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 14, 2007
Last Updated: Apr 8, 2021

Practice Location

Address: 9500 MENTOR AVE
Address 2: SUITE 100
City: Mentor
State: Ohio
ZIP Code: 44060-8713
Phone: (440) 352-4880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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