Samantha Jackson

NPI 1174257307 · on the registry since 2022

Practice

Address: 100 Loop St
Clinton, NC 28328
Phone: (910) 596-2221
Organisation at this address: Easter Seals Ucp North Carolina & Virginia, Inc
Easter Seals Ucp North Carolina & Virginia, Inc.
Easter Seals Ucp North Carolina & Virginia, Inc.
Easter Seals Ucp North Carolina & Virginia, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina