Individual
JISSEL SAMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2780
(812) 238-7000
Mailing address
1600 ALDEN RD APT 519, ORLANDO, FL 32803-1953
(352) 321-6102
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28264469A
IN
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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