Individual provider · Type 1 NPI

Cheryl Marleise Samuel

Nurse Practitioner · Tucker, GA

NPI number 1588273692 Active

Practice location

4500 Hugh Howell Rd Ste 640
Tucker, GA 30084-4720

Fax (470) 359-4126

Mailing address

PO Box 2648
Tucker, GA 30085-2648

Other practice locations

  • 1041 Talbotton Rd, Columbus, GA 31904-8745 · (706) 660-8825
  • 130 Medical Way Ste B, Stockbridge, GA 30281-9088 · (678) 759-0059

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X134443 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1588273692

Cheryl Marleise Samuel's National Provider Identifier is 1588273692, issued on Jul 24, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tucker, GA. The record was last updated on May 6, 2025.