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Individual

SAMANTHA DEWITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
217 S 3RD ST, DANVILLE, KY 40422-1823
(859) 239-1000
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(865) 693-1000
(865) 293-5375

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3010662
KY
363LF0000X
Family Nurse Practitioner
Primary
3010662
KY

Other

Enumeration date
08/23/2016
Last updated
04/17/2017
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