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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMSON KERNISANT

Active

SAMSON KERNISANT is a Student (Health Education/Training) healthcare provider located in BROCKTON, Massachusetts. NPI 1154217222 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · BROCKTON, MA

Registration Details

NPI Number
1154217222
Provider Type
Individual
Gender
Male
NPI Issued
Jun 16, 2025 (1.1709645113545 yrs)
Last Updated
Jun 16, 2025

Practice Information

Address
425 PLEASANT ST STE 104
BROCKTON, MA, 023012533
Browse MA providers · Browse ZIP 02301
Phone
5082699695
Fax
5084253048
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in BROCKTON, MA

Name Credential NPI
KIMBERLIE BETH HOEKSTRA 1710046867
MRS. SARAH ELISABETH WHITMARSH CEIS 1891859716
LISA A NUGENT CCLS CEIS 1235296955
KERRY MARIE DAILEY TEACHER CERTIFICATIO 1396802039
DANIELLE MAIRE GROW CIMI 1639236375
KERI ANN LEVESQUE BS CEIS MASS TEACHER 1457418709
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.