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

SAMANTHA RAE JACKSON, FNP-BC

Active

SAMANTHA RAE JACKSON, FNP-BC is a Family Nurse Practitioner healthcare provider located in COLLINSVILLE, Illinois. NPI 1861960221 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · COLLINSVILLE, IL

Registration Details

NPI Number
1861960221
Provider Type
Individual
Gender
Female
NPI Issued
Nov 5, 2018 (7.7765625797153 yrs)
Last Updated
Nov 5, 2018
License
209017975 (IL)

Practice Information

Address
320 SUMNER BLVD
COLLINSVILLE, IL, 622341929
Browse IL providers · Browse ZIP 62234
Phone
6185141170
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in COLLINSVILLE, IL

Name Credential NPI
JESSICA LYNN WALKER FNP-BC 1639476369
MRS. MEGAN LYNN MIHELCIC FNP 1205263589
MRS. AMANDA HEMPHILL FNP-BC 1073973863
KENECIA DONES 1396204301
ZACHARY MARCUS FORD RN, FNP-C 1952057903
LAURA ANN WILSON FNP-C 1710604780
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.