Individual
NELLIE SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
415 N JACKSON ST, AMERICUS, GA 31709-3015
(229) 815-5454
Mailing address
415 N JACKSON ST, AMERICUS, GA 31709-3015
(229) 815-5454
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
097556
GA
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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