Individual
JENA SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4421 STUART ANDREW BLVD, CHARLOTTE, NC 28217-1589
(980) 343-6960
Mailing address
725 DOGWOOD LN, DAVIDSON, NC 28036-9720
(704) 996-4195
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10468
NC
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/24/2012
Last updated
04/14/2026
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