Individual provider · Type 1 NPI

Samantha Yates Nuckols, PA-C

Physician Assistant · Creve Coeur, MO

NPI number 1316353121 Active

Practice location

11445 Olive Blvd
Creve Coeur, MO 63141-7108

Call (314) 428-9543 Map

Fax (314) 428-9542

Mailing address

115 Jameson Way
Seven Fields, PA 16046-4325

Other practice locations

  • 115 Jameson Way, Seven Fields, PA 16046-4325 · (757) 406-9172

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0110-004588 (VA)
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X2017044296 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1316353121

Samantha Yates Nuckols, PA-C's National Provider Identifier is 1316353121, issued on Jul 2, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Creve Coeur, MO. The record was last updated on Sep 24, 2019.