Individual
SAMANTHA TALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2012 WT WHITEHEAD DR, JACKSONVILLE, NC 28546-8409
(910) 526-1631
Mailing address
2012 WT WHITEHEAD DR, JACKSONVILLE, NC 28546-8409
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5024453
NC
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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