Individual provider · Type 1 NPI

Samantha Jean McCollough, CRNP

Family Nurse Practitioner · Jack, AL

NPI number 1174042501 Active

Practice location

1020 County Road 114
Jack, AL 36346-6228

Fax (833) 320-2199

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-143531 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1174042501

Samantha Jean McCollough, CRNP's National Provider Identifier is 1174042501, issued on Sep 18, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jack, AL. The record was last updated on Apr 10, 2025.