Jacot, Samantha Rose

Jacot, Samantha Rose is an individual health care provider with primary practice located at 1941 Johnson Ave Ste 301 , San Luis Obispo CA 93401-4175. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jacot, Samantha Rose can be contacted via phone (805) 786-4111.

Contact Information

Primary practice address
1941 Johnson Ave Ste 301 San Luis Obispo CA 93401-4175
Phone: (805) 786-4111
Fax: (805) 543-6357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95009921 California

Profile Details

NPI number 1902380884
LBN Legal business name Jacot, Samantha Rose
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2018
Last updated Nov 2nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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