Individual provider · Type 1 NPI
Jeannie Ray Samuel, PNP-BC
Pediatric Nurse Practitioner · Lamont, CA
NPI number
1467719807
Active
Practice location
8787 Hall Rd
Lamont, CA 93241-1953
Fax (661) 845-1157
Mailing address
PO Box 1559
Bakersfield, CA 93302-1559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95003356 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1467719807
Jeannie Ray Samuel, PNP-BC's National Provider Identifier is 1467719807, issued on Apr 23, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lamont, CA. The record was last updated on Nov 4, 2015.