Individual provider · Type 1 NPI

Samantha Barke Jamison, MSN, CNP, AGPCNP-BC

Gerontology Nurse Practitioner · Stillwater, MN

NPI number 1861250334 Active

Practice location

270 Main St N Ste 300
Stillwater, MN 55082-6788

Fax (651) 342-1428

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X11381 (MN)
Primary Care Nurse Practitioner 363LP2300X11381 (MN)
Gerontology Nurse Practitioner Primary 363LG0600X11381 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1861250334

Samantha Barke Jamison, MSN, CNP, AGPCNP-BC's National Provider Identifier is 1861250334, issued on Mar 11, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Stillwater, MN. The record was last updated on May 4, 2026.