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NPI Code Detail

MEDICARE: SAMANTHA FAE FERRELL APRN, FNP-C

MEDICARE:   SAMANTHA FAE FERRELL  APRN, 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 Practitioner1227834TX

General Provider Information

NPI Number : 1831045137
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA FAE FERRELL APRN, FNP-C
Provider Business Mailing Address
First Line : 810 HOSPITAL DR STE 370
Second Line :
City : BEAUMONT
State : TX
Zip : 77701-4657
Country : US
Telephone Number : 409-212-5469
Fax Number : 409-212-5466
Provider Business Practice Location Address
First Line : 810 HOSPITAL DR STE 370
Second Line :
City : BEAUMONT
State : TX
Zip : 77701-4657
Country : US
Telephone Number : 409-212-5469
Fax Number : 409-212-5466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ SAMANTHA FAE FERRELL APRN, FNP-C” Practice Location

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