Individual
JESSICA ROSE SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1027 N 27TH ST, BILLINGS, MT 59101-0711
(406) 237-5110
Mailing address
4524 BIG DANCE WAY UNIT 3, BILLINGS, MT 59106-2847
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-102756
MT
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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