Individual
SAMANTHA JO CHRISTOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
702 CHESTNUT ST, MURPHYSBORO, IL 62966-2650
(618) 684-7087
(618) 822-4045
Mailing address
209 W COMMERCIAL DR STE E, CARTERVILLE, IL 62918-2057
(618) 684-7087
(618) 822-4045
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277002107
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370966854002
—
IL
Enumeration date
03/28/2015
Last updated
08/13/2024
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