Provider Demographics
NPI:1457851974
Name:SAMPLEY, BARBARA JOAN
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:JOAN
Last Name:SAMPLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CHEROKEE TRL
Mailing Address - Street 2:
Mailing Address - City:IOWA PARK
Mailing Address - State:TX
Mailing Address - Zip Code:76367-1782
Mailing Address - Country:US
Mailing Address - Phone:940-249-3822
Mailing Address - Fax:
Practice Address - Street 1:4 CHEROKEE TRL
Practice Address - Street 2:
Practice Address - City:IOWA PARK
Practice Address - State:TX
Practice Address - Zip Code:76367-1782
Practice Address - Country:US
Practice Address - Phone:940-249-3822
Practice Address - Fax:940-249-3822
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX785780163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse