Campbell, Jacqueline

Campbell, Jacqueline is an sole proprietor health care provider with primary practice located at 3189 Sw Fambrough St , Port Saint Lucie FL 34953-4541. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Case Management, Other Service Providers / Case Manager/Care Coordinator, Nursing Service Related Providers / Attendant Care Provider. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Campbell, Jacqueline can be contacted via phone (772) 203-3026.

Contact Information

Primary practice address
3189 Sw Fambrough St Port Saint Lucie FL 34953-4541
Phone: (772) 203-3026
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X RN 9219448 Florida
Nursing Service Providers / Registered Nurse 163W00000X RN 9219448 Florida
Nursing Service Providers / Case Management 163WC0400X RN 9219448 Florida
Other Service Providers / Case Manager/Care Coordinator 171M00000X RN 9219448 Florida
Nursing Service Related Providers / Attendant Care Provider 3747A0650X RN 9219448 Florida

Profile Details

NPI number 1619368180
LBN Legal business name Campbell, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2015
Last updated Feb 5th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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