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

Shaquita Sampson

Individual provider Family Nurse Practitioner · NPI 1376948075

Shaquita Sampson is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2014, 12 years ago. Practices with Wound Management Specialists LLC, a 158-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
12
Licensed in
MS
In the registry since
2014
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Practice location Address checks out

1134 Winter St
Jackson, MS 39204-2841
Phone: (601) 948-5572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN884677 (MS)

Record details

NPI number1376948075
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 24, 2014
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024
Mailing address559 Heatherwood Dr, Jackson, MS 39212-4707

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Wound Management Specialists Llc — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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