Samayoa, Jill M

Samayoa, Jill M is an individual health care provider with primary practice located at 3850 Park Nicollet Blvd Park Nicollet Clinic Slp, St Louis Park MN 55416-2527. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Samayoa, Jill M can be contacted via phone (952) 993-5041.

Contact Information

Primary practice address
3850 Park Nicollet Blvd Park Nicollet Clinic Slp St Louis Park MN 55416-2527
Phone: (952) 993-5041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R148078-4 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0851 Minnesota

Profile Details

NPI number 1538144944
LBN Legal business name Samayoa, Jill M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Mar 18th, 2021 - about 5 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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