MEDICARE: SAMANTHA JONES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246RP1900X	Phlebotomy Technician	200424R23	LA

General Provider Information

NPI Number	:	1326900051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA JONES

Provider Business Mailing Address
First Line	:	3209 LAVEY LN
Second Line	:
City	:	BAKER
State	:	LA
Zip	:	70714-3774
Country	:	US
Telephone Number	:	225-999-6616
Fax Number	:

Provider Business Practice Location Address
First Line	:	3209 LAVEY LN
Second Line	:
City	:	BAKER
State	:	LA
Zip	:	70714-3774
Country	:	US
Telephone Number	:	225-999-6616
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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Directions to “ SAMANTHA JONES ” Practice Location

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