Most Relevant Information
Provider Data
| NPI Number: | 1003542978 |
| Provider Name: | JAZMIN SAM FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1088298 |
Most Important Dates
| Enumeration Date: | 07/25/2022 |
| Last Updated: | 07/25/2022 |
Provider Practice Location
1108 E MULBERRY ST
ANGLETON
TX
775153954
Practice Location Phone/Fax
| Phone: | 4092661888 |
| Fax: |
Provider Mailing Location
1108 E MULBERRY ST
ANGLETON
TX
775153954
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |