Individual provider · Type 1 NPI

Samantha Dawn Jekel

Nurse Practitioner · Charlotte, NC

NPI number 1902792575 Active

Practice location

1000 Blythe Blvd
Charlotte, NC 28203-5812

Mailing address

PO Box 32861
Charlotte, NC 28232-2861

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5023000 (NC)

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 1902792575

Samantha Dawn Jekel's National Provider Identifier is 1902792575, issued on Jun 17, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Sep 4, 2025.