Individual provider · Type 1 NPI

Samantha Nicole Lillico, FNP-C

Nurse Practitioner · St. Peters, MO

NPI number 1093225815 Active

Practice location

3701 N Saint Peters Pkwy Ste B2
St. Peters, MO 63376-7370

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2017024415 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1093225815

Samantha Nicole Lillico, FNP-C's National Provider Identifier is 1093225815, issued on Oct 6, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Peters, MO. The record was last updated on Oct 14, 2025.