Individual provider · Type 1 NPI

Samantha Blaylock

Licensed Practical Nurse · Princeton, WV

NPI number 1932033651 Active

Practice location

200 12th Street Ext
Princeton, WV 24740-2329

Call (304) 425-9541 Map

Mailing address

PO Box 618
Northfork, WV 24868-0618

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X36494 (WV)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1932033651

Samantha Blaylock's National Provider Identifier is 1932033651, issued on Jun 9, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Princeton, WV. The record was last updated on Jun 9, 2026.