Individual
MRS. SAMANTHA JEAN MCCOLLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1020 COUNTY ROAD 114, JACK, AL 36346-6228
(334) 830-4624
(833) 320-2199
Mailing address
1020 COUNTY ROAD 114, JACK, AL 36346-6228
(334) 830-4624
(334) 853-0178
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-143531
AL
Other
Enumeration date
09/18/2017
Last updated
04/10/2025
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