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Individual

JESSICA RENEE SAMUELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP FNP-BC

Contact information

Practice address
3400 FLECKENSTEIN RD, FLINT, MI 48507-3042
(810) 358-2902
Mailing address
1639 FARNSWORTH RD, LAPEER, MI 48446-8711
(810) 358-2902

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704313451
MI

Other

Enumeration date
07/10/2019
Last updated
06/24/2020
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