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Samantha Jackson
NPI 1689136384 · on the registry since 2019
Practice
- Address
- 10602 Shimmer Bluff Ln
Humble, TX 77396 - Phone
- (281) 939-6652
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 101YM0800X
103T00000X - Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas