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NPI Code Detail

MEDICARE: SAMANTHA PAIGE THOMPSON FNP-C

MEDICARE: SAMANTHA PAIGE THOMPSON FNP-C
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
1363LF0000XFamily Nurse Practitioner2020006449MO

General Provider Information

NPI Number : 1215561741
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA PAIGE THOMPSON FNP-C
Provider Business Mailing Address
First Line : 600 E 5TH ST
Second Line :
City : FULTON
State : MO
Zip : 65251-1793
Country : US
Telephone Number : 573-592-4100
Fax Number :
Provider Business Practice Location Address
First Line : 600 E 5TH ST
Second Line :
City : FULTON
State : MO
Zip : 65251-1793
Country : US
Telephone Number : 573-592-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2020
Last Update Date : 03/03/2026

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