person
Mrs. Jennifer Lee Samuels, RN,MSN,CPNP
Pediatric Nurse Practitioner in Los Angeles, California
NPI 1265621866

Jennifer Lee Samuels is a Pediatric Nurse Practitioner based in Scottsdale, CA and is specialized in Pediatrics. Jennifer Lee Samuels practices in Los Angeles, CA and has the professional credentials of RN,MSN,CPNP. The NPI Number for Jennifer Lee Samuels is 1265621866 and holds a License No. 95075527 (California).

The current practice location address for Jennifer Lee Samuels is 4650 W Sunset Blvd, Los Angeles, CA and can be reached out via phone at 323-361-5162 and via fax at 323-361-3717.

Location: 4650 W Sunset Blvd, Los Angeles, CA, 85258-3243
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Provider Profile Details
NPI Number
1265621866
Provider Name
Jennifer Lee Samuels
Credential
RN,MSN,CPNP
Provider Entity Type
Individual
Gender
Female
Address
4650 W Sunset Blvd, Los Angeles, CA, 85258-3243
Phone Number
323-361-5162
Fax Number
323-361-3717
Provider Enumeration Date
10/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95075527 01 CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
4650 W Sunset Blvd
City
State
Zip
90027-6062
Phone Number
323-361-5162
Fax Number
323-361-3717
person
Provider Business Mailing Address Details
Address
4650 W Sunset Blvd
City
State
Zip
90027-6062
Phone Number
323-361-5162
Fax Number
323-361-3717
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
95075527 (California)
Definition
Definition to come...
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