Healthcare Provider Details

I. General information

NPI: 1760164206
Provider Name (Legal Business Name): SAMANTHA JORDAN FINLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAMANTHA JOYCE

II. Dates (important events)

Enumeration Date: 08/03/2023
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 VETERANS UNITED DR
COLUMBIA MO
65201-8603
US

IV. Provider business mailing address

PO BOX 843966
KANSAS CITY MO
64184-3966
US

V. Phone/Fax

Practice location:
  • Phone: 573-884-6052
  • Fax: 573-884-1151
Mailing address:
  • Phone: 573-884-3300
  • Fax: 573-884-0943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2024030855
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2024005486
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: