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NPI Code Detail

MEDICARE: SAMANTHA JOANN SAGER APRN, FNP

MEDICARE: SAMANTHA JOANN SAGER APRN, FNP
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 Practitioner207817OK
2363LF0000XFamily Nurse Practitioner219566AR

General Provider Information

NPI Number : 1336885839
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA JOANN SAGER APRN, FNP
Provider Business Mailing Address
First Line : PO BOX 776084
Second Line :
City : CHICAGO
State : IL
Zip : 60677-6084
Country : US
Telephone Number : 479-785-2229
Fax Number : 479-314-3185
Provider Business Practice Location Address
First Line : 7301 ROGERS AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-4100
Country : US
Telephone Number : 479-785-2229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2022
Last Update Date : 01/13/2026

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