Individual
MRS. SAMANTHA LYNN NEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3238 S NATIONAL AVE, SPRINGFIELD, MO 65807-7303
(417) 351-2900
(417) 351-2900
Mailing address
3238 S NATIONAL AVE, SPRINGFIELD, MO 65807-7303
(417) 351-2900
(417) 351-2900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2006028433
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457609091
—
MO
01
—
431560263
TRICARE
MO
01
—
P01159458
RR MCR
MO
Enumeration date
08/28/2012
Last updated
03/24/2023
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