Individual
MRS. SAMANTHA JO BROWN
Active
Individual
MRS. SAMANTHA JO BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2004002504
MO
363LF0000X
Family Nurse Practitioner
A111977
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS
00594011
MO
Enumeration date
04/12/2007
Last updated
09/30/2019
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