Individual
SAMANTHA BARKE JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNP, AGPCNP-BC
Contact information
Practice address
270 MAIN ST N STE 300, STILLWATER, MN 55082-6788
(651) 342-1039
(651) 342-1428
Mailing address
270 MAIN ST N STE 300, STILLWATER, MN 55082-6788
(651) 342-1039
(651) 342-1428
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
11381
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
11381
MN
363LP2300X
Primary Care Nurse Practitioner
11381
MN
Other
Enumeration date
03/11/2024
Last updated
05/04/2026
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