Samantha Jackson

NPI #1922855295 in Belleview, Florida

Provider Information

NPI Number
1922855295
Entity Type
Individual
Name
Samantha Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
May 3, 2024
Last Updated
Aug 20, 2025

Practice Location

Address
5051 SE 110TH ST
State
Florida
ZIP Code
34420-3115
Phone
(352) 732-6599

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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