MEDICARE: JENNY W CAMPBELL

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
1	225800000X	Recreation Therapist

General Provider Information

NPI Number	:	1043162274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNY W CAMPBELL

Provider Business Mailing Address
First Line	:	1024 62ND PL S
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33705-5627
Country	:	US
Telephone Number	:	727-398-6661
Fax Number	:

Provider Business Practice Location Address
First Line	:	1024 62ND PL S
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33705-5627
Country	:	US
Telephone Number	:	727-398-6661
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

Similar Medicare Providers

1992484000 — JEANINE BROCK COTA/L
Practice Location Address:

2471 16TH AVE N
SAINT PETERSBURG, FL
33713-5627

Practice Phone: 727-303-5140
Practice Fax:

1003882150 — DR. KAJAL DASGUPTA M.D.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1881646115 — MS. MELISSA RYAN STRAUSS P.A.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1417731134 — JOEL DRUMMER
Practice Location Address:

146 SPENCER ST STE 5012
BROOKLYN, NY
11205-5627

Practice Phone: 917-676-6022
Practice Fax:

Directions to “ JENNY W CAMPBELL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.