Individual provider · Type 1 NPI

Samantha Leigh Vancuren, PA-C

Physician Assistant · Fort Campbell, KY

NPI number 1497174692 Active

Practice location

7229 Night Stalker Way
Fort Campbell, KY 42223

Call (270) 798-3969 Map

Fax (270) 798-1118

Mailing address

650 Joel Dr
Fort Campbell, KY 42223-5318

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5627 (AZ)
Physician Assistant 363A00000X10003002A (IN)
Physician Assistant Primary 363A00000X7141 (GA)

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 1497174692

Samantha Leigh Vancuren, PA-C's National Provider Identifier is 1497174692, issued on Apr 15, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Campbell, KY. The record was last updated on Jul 30, 2025.