| Doctor Name: | MRS. JENNIFER OLABISI SAMUELS |
| NPI Number: | 1417008053 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | REGISTERED NURSE |
| License Number: | 687650 |
| Business Practice Address: | 814 Sycamore Trl Forney, TX - 751260060 |
| Business Phone Number: | 2142454461 |
| Business Fax Number: | 2142454461 |
| Mailing Address: | 814 Sycamore Trl, FORNEY |
| State: | TX |
| Postal Code: | 751260060 |
| Phone Number: | 2142454461 |
| Fax Number: | 2142454461 |
| NPI Enumeration Date: | 01/12/2007 |
| NPI Last Update Date: | 05/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 687650 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |