| NPI | 1245047513 |
|---|---|
| Other Name | EBONI TUCKER SAMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024196983) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9641171) |
| 363L00000X Nurse Practitioner (Licence: PA SP034182) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R274325) | |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2026-08-06 |