Individual
DR. JENNIFER ANN SAMPANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D, MSN
Contact information
Practice address
334 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3464
(859) 301-5901
(859) 301-5940
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-5901
(859) 301-5940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1098243
KY
163W00000X
Registered Nurse
259097
OH
363L00000X
Nurse Practitioner
3003731
KY
363L00000X
Nurse Practitioner
NP08845
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3003731
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200827630
—
IN
05
—
2389571
—
OH
05
—
78008042
—
KY
Enumeration date
07/26/2005
Last updated
07/13/2023
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