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NPI Code Detail

MEDICARE: JANNA SAMPSON

MEDICARE: JANNA SAMPSON
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1598139255
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANNA SAMPSON
Provider Business Mailing Address
First Line : 109 CHEVY LN
Second Line : C
City : BUNKIE
State : LA
Zip : 71322-1561
Country : US
Telephone Number : 318-346-6542
Fax Number : 318-346-6543
Provider Business Practice Location Address
First Line : 109 CHEVY LN
Second Line : C
City : BUNKIE
State : LA
Zip : 71322-1561
Country : US
Telephone Number : 318-346-6542
Fax Number : 318-346-6543
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2015
Last Update Date : 11/18/2015

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