Jennifer Sue Campos FNP-BC, CCRN, CMC

NPI 1043581820 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1043581820
Gender Female
Enumeration Date 01/25/2012
Last Updated 01/25/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
405 W JACKSON ST
CARBONDALE IL, 62901-1462, US
Phone (618) 549-0721
Fax
Business Location
405 W JACKSON
CARBONDALE IL, 62901-1462, US
Phone (618) 549-0721
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Illinois
License Number 209009255
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According to our database, Mrs. Jennifer Sue Campos FNP-BC, CCRN, CMC NPI is 1043581820, taxonomy code is 363LF0000X and license number is 209009255, license state is located at Illinois. Jennifer Sue Campos FNP-BC, CCRN, CMC physically located at 405 W Jackson St, Carbondale IL, 62901-1462. NPI Number Jennifer Sue Campos FNP-BC, CCRN, CMC has the Individual type.

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1043581820 NPI number is provided on an as is basis without warranty of any kind. 1043581820 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Sue Campos FNP-BC, CCRN, CMC are for informational purposes only.