Jenean Elizabeth Sampson, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

11011547 Issued in FL

Practice address

4040 49TH St N
St Petersburg, FL 33709-5734

Phone

(727) 526-6483

NPI assigned

Feb 9, 2021

Last updated

Feb 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Nemours Foundation

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1265585806
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1659963767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16895 RED BRICK LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387529",
            "telephone_number": "904-705-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337095734",
            "telephone_number": "727-526-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "JENEAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11011547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahim Samji, LCSW
• John D Sampedro, LMT
• Shelby Sample, OTD
• Chelsey Michelle Sampley, BCBA
• Gavarian D Sampson Sr.
• Sams East Inc (Sams Pharmacy 10-4861)
• Sams East Inc (Sams Club Vision Center 30-4861)
• David Andrew Sams, DO
• Samuel Holte Counseling
• Abie Alias Samuel, D.O.

• Pediatric Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.