Individual
MISS JENEAN ELIZABETH SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4040 49TH ST N, ST PETERSBURG, FL 33709-5734
(727) 526-6483
Mailing address
16895 RED BRICK LN, LAND O LAKES, FL 34638-7529
(904) 705-2072
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11011547
FL
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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