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NPI Code Detail

MEDICARE: JENNIFER CAMPBELL BA

MEDICARE: JENNIFER CAMPBELL BA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WE0003XEmergency Registered Nurse4704398937MI

General Provider Information

NPI Number : 1396260238
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER CAMPBELL BA
Provider Business Mailing Address
First Line : 97 S 4TH ST
Second Line :
City : ISHPEMING
State : MI
Zip : 49849-2168
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1025 W WASHINGTON ST STE A
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-4031
Country : US
Telephone Number : 906-239-5050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2017
Last Update Date : 08/14/2025

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Directions to “ JENNIFER CAMPBELL BA” Practice Location

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