Mrs. Jennifer Campbell
Nurse Practitioner - Pediatrics
1509 State Street
La Porte
, Indiana 46350-3429
Mrs. Jennifer Campbell
Nurse Practitioner - Pediatrics
1509 State Street
La Porte
, Indiana 46350-3429
(219) 326-2584
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Jennifer Campbell
- P.o. Box 1690
- La Porte, IN
- Zip : 46352-1690
- Fax : (219) 326-2584
- Phone : (219) 326-2312
Second Address
- Mrs. Jennifer Campbell
- 1509 State Street
- La Porte, IN
- Zip : 46350-3429
- Fax : (219) 362-3802
- Phone : (219) 324-3431
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 71000545A | IN |
National Provider Identifier
| NPI | 1023232477 |
|---|---|
| Provider Name | Mrs. Jennifer Campbell |
| First Address | La Porte, IN 46352-1690 |
| Second Address | La Porte, IN 46350-3429 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2007 |
| Last Update Date | 12/11/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.