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General NPI Number Information
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NPI Number | 1104747880
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Entity Type | Individual
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Provider Name | JENNIFER DAWN CAMPBELL RN
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Gender | Female
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 1900 TEBEAU ST
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City | WAYCROSS
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State | GA
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Zip | 31501-6357
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Country | US
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Telephone | 912-287-2555
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Fax |
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Provider Business Mailing Address
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Address Line | 5081 TANK RD
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City | ODUM
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State | GA
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Zip | 31555-7029
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Country | US
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Telephone | 912-276-0878
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN311348
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License Number State | GA
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