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NPI Code Detail

MEDICARE: JENNA CAMPBELL

MEDICARE: JENNA 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
1103K00000XBehavior Analyst1-13-14846FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770907271
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA CAMPBELL
Provider Business Mailing Address
First Line : 350 ACCEPTANCE WAY
Second Line :
City : CLERMONT
State : FL
Zip : 34711-2788
Country : US
Telephone Number : 352-223-1999
Fax Number :
Provider Business Practice Location Address
First Line : 350 ACCEPTANCE WAY
Second Line :
City : CLERMONT
State : FL
Zip : 34711-2788
Country : US
Telephone Number : 352-223-1999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2014
Last Update Date : 05/06/2026

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Directions to “ JENNA CAMPBELL ” Practice Location

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