Individual
SAMANTHA JOLINE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
300 MOORE ST STE B, BRISTOL, VA 24201-4495
(276) 591-5448
Mailing address
821 CARLISLE DR, KINGSPORT, TN 37660-2531
(423) 367-3101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024177445
VA
Other
Enumeration date
05/01/2019
Last updated
08/07/2020
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