Individual provider · Type 1 NPI

Samantha Ann Jackson, N.P.

Acute Care Nurse Practitioner · Indianapolis, IN

NPI number 1770729535 Active

Practice location

8075 N Shadeland Ave, Suite 200
Indianapolis, IN 46250-2693

Call (317) 621-8500 Map

Fax (317) 621-8501

Mailing address

6626 E 75th St, Ste 500
Indianapolis, IN 46250-2805

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X71002751A (IN)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1770729535

Samantha Ann Jackson, N.P.'s National Provider Identifier is 1770729535, issued on Dec 29, 2008. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 11, 2021.