Individual
SAMANTHA C BOUGHER
Active
Individual
SAMANTHA C BOUGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
39041
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39041
APN LICENSE
TN
Enumeration date
07/15/2025
Last updated
07/15/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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