Miss Jennifer Samuel, PMHNP-BC - Nurse Practitioner in Vancouver, WA

Miss Jennifer Samuel, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Vancouver, Washington. Miss Jennifer Samuel is licensed to practice in Washington (license number AP61425969) and her current practice location is 12503 Se Mill Plain Blvd Ste 123, Vancouver, Washington. She can be reached at her office (for appointments etc.) via phone at (360) 334-9942.

NPI number for Miss Jennifer Samuel is 1689224578 and her current mailing address is 1040 Westwood Rd, Woodmere, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689224578.

Contact Information

Miss Jennifer Samuel, PMHNP-BC
12503 Se Mill Plain Blvd Ste 123,
Vancouver, WA 98684-4007
(360) 334-9942
(425) 242-3683

Map and Direction




Provider's Profile

Full NameMiss Jennifer Samuel
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location12503 Se Mill Plain Blvd Ste 123, Vancouver, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689224578
  • Provider Enumeration Date: 09/12/2019
  • Last Update Date: 05/02/2024

Medical Identifiers

Medical identifiers for Miss Jennifer Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689224578NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 309303 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 10006786 (Oregon)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61425969 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Jennifer Samuel is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Jennifer Samuel, PMHNP-BC
1040 Westwood Rd,
Woodmere, NY 11598-1125

Ph: (516) 343-8802
Miss Jennifer Samuel, PMHNP-BC
12503 Se Mill Plain Blvd Ste 123,
Vancouver, WA 98684-4007

Ph: (360) 334-9942

Reviews and Comments


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