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NPI Code Detail

MEDICARE: MRS. JAMIE NICHOLE CAMPBELL MD

MEDICARE: MRS. JAMIE NICHOLE CAMPBELL MD
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
12080N0001XNeonatal-Perinatal Medicine Physician292186MA

General Provider Information

NPI Number : 1841686128
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JAMIE NICHOLE CAMPBELL MD
Provider Business Mailing Address
First Line : 75 FRANCIS ST
Second Line :
City : BOSTON
State : MA
Zip : 02115-6106
Country : US
Telephone Number : 617-732-6030
Fax Number :
Provider Business Practice Location Address
First Line : 75 FRANCIS ST
Second Line :
City : BOSTON
State : MA
Zip : 02115-6106
Country : US
Telephone Number : 617-732-6030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2015
Last Update Date : 12/09/2025

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