Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samantha Nicole Jackson

Individual provider Registered Nurse · NPI 1437981206

Samantha Nicole Jackson is a Registered Nurse in Philadelphia, Pennsylvania. Licensed in Arizona, Colorado, Florida and Illinois and 7 more. Registered with an NPI since 2024.

Licensed in
AZ, CO, FL, IL, NC, OH
In the registry since
2024
Specialties on file
11
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Practice location Address checks out

100 S Juniper St Fl 3
Philadelphia, PA 19107-1316
Phone: (866) 849-0692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN670975 (PA)
Registered Nurse Taxonomy 163W00000X · Licence 500781 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 342357 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 257223 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 202200487RN (OR)
Registered Nurse Taxonomy 163W00000X · Licence 1677206 (CO)
Registered Nurse Taxonomy 163W00000X · Licence 263834 (SC)
Registered Nurse Taxonomy 163W00000X · Licence 1048260 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 041515475 (IL)
Registered Nurse Taxonomy 163W00000X · Licence RN9573245 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 248524 (AZ)

Record details

NPI number1437981206
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2024
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

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