IndividualActive
Samantha Wilson
NPI 1992441927 · Critical Care Medicine Registered Nurse · Jefferson City, MO
Provider details
- NPI number
- 1992441927
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 20180033371 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
1125 Madison St
Jefferson City, MO 65101-5227
Phone: (573) 632-5000
Approximate (ZIP-level) locationGet directions
Mailing address
1125 Madison St
Jefferson City, MO 65101-5227
Registry dates
- Enumerated
- 2022-05-11
- Last updated
- 2022-05-11
- Certified
- 2022-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.