JESSICA AURELIO SAMSON


Address: 8141 Westbourne Dr, Pensacola, FL 32506-4959
Phone: 9544786371

JESSICA AURELIO SAMSON (NPI# 1326244146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326244146
Entity Type Individual
Full Name JESSICA AURELIO SAMSON
Credential P.A.
Practice Address 8141 Westbourne Dr
Pensacola
FL 32506-4959
Practice Telephone 9544786371
Mailing Telephone 9544786371
Enumeration Date 2007-06-27
Last Update Date 2012-04-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA9103076 FL Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA9103076 FL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 8141 WESTBOURNE DR
City PENSACOLA
State FL
Zip Code 32506-4959

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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1558346213 Angela B Bray Physician Assistant 8596 Orange Avenue, Pensacola, FL 32534 2005-12-14
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Competitor

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City PENSACOLA
Zip Code 32506

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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