Samantha Laine Simon
Nurse Practitioner
532 Riverside Ave Ste 103, Jacksonville
Florida, 32202-4914
904-353-5696
Samantha Laine Simon is a Jacksonville, Florida based nurse practitioner who is specialized as Nurse Practitioner. Active license number of Samantha Laine Simon is APRN11041627 for Nurse Practitioner in Florida. Her current practice location is 532 Riverside Ave Ste 103, Jacksonville. Patients can reach her at 904-353-5696 or can fax her at 904-390-7483 with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1548112014.
Samantha Laine Simon 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 Laine Simon 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 Laine Simon |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Practice Address: | 532 Riverside Ave Ste 103, Jacksonville,
Florida, 32202-4914 |
| Phone: | 904-353-5696 |
| Fax: | 904-390-7483 |
Professional Identification Codes:
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: | 1548112014 |
| NPI Enumeration Date: | 09 Feb, 2026 |
| NPI Last Update On: | 22 May, 2026 |
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 Laine Simon are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN11041627 | Nurse Practitioner | Florida | Primary | |
| APRN11041627 | Family NP | Florida | Secondary | |
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 Laine Simon
Po Box 746638,
Atlanta, Georgia |
| Zip: | 30374-6638 |
| Phone Number: | 904-202-2092 |
| Fax Number: | 904-376-4075 |
Patients can reach Samantha Laine Simon at
532 Riverside Ave Ste 103, Jacksonville, Florida or can
call to book an appointment on 904-353-5696.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.