Individual
INEMESIT I. SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 W TERRELL AVE, FORT WORTH, TX 76104-3243
(817) 702-3100
Mailing address
PO BOX 732973, DALLAS, TX 75373-1541
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
363L00000X
Nurse Practitioner
AP128398
TX
363LF0000X
Family Nurse Practitioner
AP128398
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP128398
TX
Other
Enumeration date
07/30/2015
Last updated
10/18/2024
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