Campbell, Jennifer

Campbell, Jennifer is an individual health care provider with primary practice located at 550 Professional Dr , Macon GA 31201-1411. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Campbell, Jennifer can be contacted via phone (478) 741-3007.

Contact Information

Primary practice address
550 Professional Dr Macon GA 31201-1411
Phone: (478) 741-3007
Fax: (478) 330-6288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN145376 Georgia

Profile Details

NPI number 1578539649
LBN Legal business name Campbell, Jennifer
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Oct 13th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578539649 NPPES
Georgia MEDICAID 108621948A

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