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Individual
DESTINY PATRICE SAMUELS
Active
Individual
DESTINY PATRICE SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1186260
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
005702
GA
Other
Enumeration date
03/04/2025
Last updated
09/15/2026
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