Individual
EBONI T SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
500 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903-2981
(434) 924-2224
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9641171
FL
363L00000X
Nurse Practitioner
SP034182
PA
363LF0000X
Family Nurse Practitioner
Primary
0024196983
VA
363LF0000X
Family Nurse Practitioner
R274325
MD
Other
Enumeration date
12/11/2024
Last updated
08/06/2026
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