Samantha Elaine Harris
Individual provider Active NPI Licensed Vocational Nurse · Saint Jo, TX
NPI 1184124695 · NPPES record last updated Feb 20, 2018
Key facts
- NPI
- 1184124695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 330915 (TX)
- Practice address
- 502 N Singletary St
Saint Jo, TX 76265-2137 - Phone
- (940) 641-2097
- NPI assigned
- Feb 20, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330915 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 330915 | TX | Yes |
Addresses
Primary practice location
502 N Singletary St
Saint Jo, TX 76265-2137
Mailing address
502 N Singletary St
Saint Jo, TX 76265-2137
Phone (940) 641-2097
Other providers in Saint Jo, TX
- Maribeth Baxter
- City of Saint Jo
- Jeff Crippen
- JFC Enterprises LLC
- Debra Kay Maas
- Nocona Hospital District
- Nocona Hospital District
- Nocona Medical Clinic PA
All providers in Saint Jo, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.