Individual provider · Type 1 NPI

Samantha Jean Theobald, FNP

Family Nurse Practitioner · Charleston, SC

NPI number 1508563347 Active

About NPI 1508563347

Samantha Jean Theobald, FNP's National Provider Identifier is 1508563347, issued on Feb 13, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charleston, SC. The record was last updated on Feb 13, 2023.