| NPI | 1396896080 |
|---|---|
| Other Name | JENNIFER ANNE SAMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 00398) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OH 50000749) |
| 363A00000X Physician Assistant (Licence: OH 50000749) | |
| 363AS0400X Physician Assistant, Surgical (Licence: WV 00398) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-06-03 |