person
Samantha Ann Jackson, NP
Acute Care Nurse Practitioner in Indianapolis, Indiana
NPI 1770729535

Samantha Ann Jackson is an Acute Care Nurse Practitioner based in Indianapolis, IN and is specialized in Acute Care. Samantha Ann Jackson practices in Indianapolis, IN and has the professional credentials of NP. The NPI Number for Samantha Ann Jackson is 1770729535 and holds a License No. 71002751A (Indiana).

The current practice location address for Samantha Ann Jackson is 8075 N Shadeland Ave, Indianapolis, IN and can be reached out via phone at 317-621-8500 and via fax at 317-621-8501.

Location: 8075 N Shadeland Ave, Indianapolis, IN, 46250-2805
person
Provider Profile Details
NPI Number
1770729535
Provider Name
Samantha Ann Jackson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
8075 N Shadeland Ave, Indianapolis, IN, 46250-2805
Phone Number
317-621-8500
Fax Number
317-621-8501
Provider Enumeration Date
12/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200930050 05 IN
P01235984 01 IN MEDICARE RR PTAN
institution
Provider Business Practice Location Address Details
Address
8075 N Shadeland Ave
City
State
Zip
46250-2693
Phone Number
317-621-8500
Fax Number
317-621-8501
person
Provider Business Mailing Address Details
Address
8075 N Shadeland Ave
City
State
Zip
46250-2693
Phone Number
317-621-8500
Fax Number
317-621-8501
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
71002751A (Indiana)
Definition
Definition to come...
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