Individual provider · Type 1 NPI

Jesse Jordan Samples, DO

Student in an Organized Health Care Education/Training Program · Jackson, MI

NPI number 1699202192 Active

Practice location

205 N East Ave
Jackson, MI 49201-1753

Call (517) 205-7060 Map

Fax (517) 205-7050

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699202192

Jesse Jordan Samples, DO's National Provider Identifier is 1699202192, issued on May 15, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, MI. The record was last updated on Jul 21, 2022.