Individual
SAMANTHA SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
1201 E MICHIGAN AVE, JACKSON, MI 49201-1852
(517) 205-7620
Mailing address
3252 HATCH RD, JACKSON, MI 49201-9779
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704300102
MI
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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