MEDICARE: JAYDA 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	374U00000X	Home Health Aide		NV

General Provider Information

NPI Number	:	1437028370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYDA CAMPBELL

Provider Business Mailing Address
First Line	:	1913 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3917
Country	:	US
Telephone Number	:	702-629-9033
Fax Number	:

Provider Business Practice Location Address
First Line	:	1913 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3917
Country	:	US
Telephone Number	:	702-629-9033
Fax Number	:

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

Provider Enumeration Date	:	10/30/2025
Last Update Date	:	10/30/2025

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Directions to “ JAYDA CAMPBELL ” Practice Location

Language	Start Address	Practice Location

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