Search › Illinois › 363LF0000X
Samantha Jackson, FNP-BC
NPI 1861960221 · on the registry since 2018
Practice
- Address
- 320 Sumner Blvd
Collinsville, IL 62234 - Phone
- (618) 514-1170
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-11-05
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 Illinois