MRS. SAMANTHA ROSE JACKSON RN
NPI 1366689267
Registered Nurse in Ash Flat, AR

Q: What is Samantha Jackson's NPI number?

The NPI number for Samantha Jackson is 1366689267. It was assigned to this individual provider in the NPPES registry on January 14, 2009. The provider is also known as Samantha Rose Costner Rn.

Q: What is Samantha Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Jackson was last updated on December 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 14, 2009

75 HWY 62-412, ASH FLAT, AR 72513(870) 994-7060(870) 994-7063 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Samantha Rose Jackson Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SAMANTHA ROSE JACKSON RN (NPI 1366689267) is an individual registered nurse in Ash Flat, Arkansas, licensed in Arkansas (R71659) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1366689267

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameMRS. SAMANTHA ROSE JACKSONCredential: RN

Location Address75 HWY 62-412Ash Flat, AR 72513

Mailing Address1815 Pleasant Grove RoadJonesboro, AR 72404 · (870) 933-6886 · Fax (870) 933-9395

Phone(870) 994-7060

Fax(870) 994-7063

Sole ProprietorYes

Enumeration DateJanuary 14, 2009

Last NPPES UpdateDecember 8, 2016

✔ NPI 1366689267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in AR · R71659

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

75 HWY 62-412, Ash Flat, AR 72513

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Other Names 1

Other Name (5)Samantha Rose Costner Rn

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLEN GANN LPN

Licensed Practical Nurse

75 HWY 62-412
ASH FLAT, AR 72513

Sharp County (870) 933-6886

MRS. CANDICE ELIZABETH BIEWER MHPP

Case Manager/Care Coordinator

75 HWY 62-412
ASH FLAT, AR 72513

Sharp County (870) 994-7060

MR. LUCIAN JACK LOVELL JR. MHPP

Case Manager/Care Coordinator

75 HWY 62-412
ASH FLAT, AR 72513

Sharp County (870) 994-7060

CHELSEA R FINLEY MHPP

Case Manager/Care Coordinator

75 HWY 62-412
ASHFLAT, AR 72513

Sharp County (870) 994-7060

KRISTY RENEE GROVES MSW, LMSW

Social Worker

75 HWY 62-412
ASH FLAT, AR 72513

Sharp County (870) 994-7060

KINDALH L MAYFIELD MHPP

Case Manager/Care Coordinator

75 HWY 62-412
ASH FLAT, AR 72513

Sharp County (870) 994-7060

MRS. ROXANNE S BYRAM MHPP

Case Manager/Care Coordinator

75 HWY 62-412
ASH FLAT, AR 72513

Sharp County (870) 994-7060

STEPHANIE CHAPPS

Case Manager/Care Coordinator

75 HWY 62-412
ASH FLAT, AR 72513

Sharp County (870) 994-7060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Jackson's NPI number?

The NPI number for Samantha Jackson is 1366689267. It was assigned to this individual provider in the NPPES registry on January 14, 2009. The provider is also known as Samantha Rose Costner Rn.

Where is Samantha Jackson located?

Samantha Jackson practices at 75 Hwy 62-412, Ash Flat, AR 72513. The listed phone number is (870) 994-7060.

What is Samantha Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Samantha Jackson was last updated on December 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.