Individual provider · Type 1 NPI

Jebi Sam

Family Nurse Practitioner · Grand Prairie, TX

NPI number 1619381373 Active

Practice location

4551 Durrand Dr
Grand Prairie, TX 75052-3598

Call (972) 268-3039 Map

Mailing address

4500 S Lancaster Rd
Dallas, TX 75216-7167

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP125518 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1619381373

Jebi Sam's National Provider Identifier is 1619381373, issued on Jun 19, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Prairie, TX. The record was last updated on Feb 1, 2021.