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

Samuel Lee Jackson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942181839

Samuel Lee Jackson is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Atlanta, GA
Fax: (678) 547-6509

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1942181839
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 9, 2025
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

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