Healthcare Provider Details
I. General information
NPI: 1912260712
Provider Name (Legal Business Name): JENNIFER CAMPI LEMMONS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/18/2012
Last Update Date: 10/14/2026
Certification Date: 10/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
334 THOMAS MORE PKWY
CRESTVIEW HILLS KY
41017-3464
US
IV. Provider business mailing address
PO BOX 635283
CINCINNATI OH
45263-5283
US
V. Phone/Fax
- Phone: 859-341-3383
- Fax: 859-578-2013
- Phone: 859-341-3383
- Fax: 859-578-2013
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 35-126555 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 62607 |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: