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

JENESIS SAMUELS

Active

JENESIS SAMUELS is a Driver healthcare provider located in FAIRMONT, West Virginia. NPI 1396340741 is currently active in the NPPES registry. Verify at CMS.

Driver · FAIRMONT, WV

Registration Details

NPI Number
1396340741
Provider Type
Individual
Gender
Male
NPI Issued
Dec 3, 2020 (5.668670377243 yrs)
Last Updated
Dec 3, 2020

Practice Information

Address
200 BRADDOCK ST
FAIRMONT, WV, 265542208
Browse WV providers · Browse ZIP 26554
Phone
3045340538
Primary Specialty
Driver
172A00000X

Other Driver Providers in FAIRMONT, WV

Name Credential NPI
MICHAEL SCHANG 1346995370
ZACHARY PRITT 1679298202
MIRANDA GOFF 1508645664
SARAH ELIZABETH MCGLONE 1851123723
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.