Individual
JESSICA SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 UNIVERSITY BLVD STE 1710, INDIANAPOLIS, IN 46202-5149
(317) 944-0980
(317) 968-1221
Mailing address
2806 N 46TH AVE APT D237, HOLLYWOOD, FL 33021-2975
(954) 675-4375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002954A
IN
363A00000X
Physician Assistant
9112524
FL
Other
Enumeration date
03/03/2020
Last updated
03/09/2021
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