Samantha Danielle Statham is a Richland, Mississippi based nurse practitioner. Active license number of Samantha Danielle Statham is 37098 in Tennessee. Her current practice location is 129 Center St Ste B, Richland. Patients can reach her at 769-233-7141. Samantha Danielle Statham is NP and her NPI number (Unique professional ID assigned by NPPES) is 1568291672. Samantha Danielle Statham has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Samantha Danielle Statham speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Samantha Danielle Statham
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Practice Address:
129 Center St Ste B, Richland, Mississippi, 39218-4800
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1568291672
NPI Enumeration Date:
29 Jul, 2024
NPI Last Update On:
09 Sep, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samantha Danielle Statham are as mentioned below.
License Number
Specialization
State
Status
37098
Tennessee
Primary
906894
Nurse Practitioner
Mississippi
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Samantha Danielle Statham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
37098
Other
Tennessee
STATE LICENSE
906894
Other
Mississippi
LICENSURE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Samantha Danielle Statham 129 Center St Ste B, Richland, Mississippi
Zip:
39218-4800
Phone Number:
769-233-7141
Fax Number:
769-233-7726
Patients can reach Samantha Danielle Statham at 129 Center St Ste B, Richland, Mississippi or can call to book an appointment on 769-233-7141.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.