Jones, Samantha

Jones, Samantha is an sole proprietor health care provider with primary practice located at 2100 Charlie Hall Blvd , Charleston SC 29414-5832. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jones, Samantha can be contacted via phone (843) 852-4100.

Contact Information

Primary practice address
2100 Charlie Hall Blvd Charleston SC 29414-5832
Phone: (843) 852-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18613 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 18613 South Carolina

Profile Details

NPI number 1588095988
LBN Legal business name Jones, Samantha
Credentials FNP-BC, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2013
Last updated May 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588095988 NPPES
South Carolina MEDICAID 1760596480

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