| NPI | 1770191835 |
|---|---|
| Professional Name | BRANDY JO SAMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013563) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 261209) |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-11-17 |