Campbell, Jennifer D

Campbell, Jennifer D is an individual health care provider with primary practice located at 390 S Main St Suite 101, Rocky Mount VA 24151-1711. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Campbell, Jennifer D can be contacted via phone (540) 484-4836.

Contact Information

Primary practice address
390 S Main St Suite 101 Rocky Mount VA 24151-1711
Phone: (540) 484-4836
Fax: (540) 484-4837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110-002031 Virginia

Profile Details

NPI number 1932180585
LBN Legal business name Campbell, Jennifer D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Apr 30th, 2008 - about 18 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 1932180585 NPPES
Virginia MEDICAID 010137187
Virginia MEDICAID 010137233

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