SAMANTHA NICOLE JACKSON NPI 1437981206

NPI Information

  • NPI: 1437981206
  • Provider Name: SAMANTHA NICOLE JACKSON
  • Classification: Registered Nurse - 163W00000X
  • Entity Type: Individual
  • Address: 100 S JUNIPER ST FL 3
    PHILADELPHIA, PA
    ZIP 19107
  • Phone: (866) 849-0692

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NPI Details

Samantha Nicole Jackson is a registered nurse in Philadelphia, PA. The provider is (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. Samantha Nicole Jackson NPI is 1437981206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 S JUNIPER ST FL 3
PHILADELPHIA, PA
ZIP 19107-316
Phone: (866) 849-0692

The enumeration date for this NPI number is 8/19/2024 and was last updated on 8/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse500781NEW JERSEYNo
2163W00000XRegistered Nurse342357NORTH CAROLINANo
3163W00000XRegistered Nurse257223TENNESSEENo
4163W00000XRegistered Nurse202200487RNOREGONNo
5163W00000XRegistered Nurse1677206COLORADONo
6163W00000XRegistered Nurse263834SOUTH CAROLINANo
7163W00000XRegistered Nurse1048260TEXASNo
8163W00000XRegistered Nurse041515475ILLINOISNo
9163W00000XRegistered NurseRN9573245FLORIDANo
10163W00000XRegistered Nurse248524ARIZONANo
11163W00000XRegistered NurseRN670975PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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