Individual
JENNIFER SUZANNE SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 OLD JACKSON RD, FARMINGTON, MO 63640-3428
(573) 760-1700
(573) 760-1224
Mailing address
1180 OLD JACKSON RD, FARMINGTON, MO 63640-3428
(573) 760-1700
(573) 760-1224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2007022456
MO
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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