| NPI | 1568878072 |
|---|---|
| Former Name | JESSICA ELIN SAMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 3700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R182725-3) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2024-03-06 |