Jenna Campbell
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Warwick, RI
NPI 1124858899 · NPPES record last updated Aug 6, 2024
Key facts
- NPI
- 1124858899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN04143 (RI)
- Practice address
- 75 Lambert Lind Hwy
Warwick, RI 02886-1131 - Phone
- (401) 681-4274
- Fax
- (401) 681-4285
- NPI assigned
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240917002220 | RI | Practitioner - Nurse Practitioner | 4880135912 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN04143 | RI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Behavioral Health | Current |
Accepting new patients |
Locations
75 Lambert Lind Hwy
Warwick, RI 02886
Phone (401) 463-5778
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN04143 | RI | Yes |
Addresses
Primary practice location
75 Lambert Lind Hwy
Warwick, RI 02886-1131
Mailing address
11 Sayles Hill Rd
North Smithfield, RI 02896-8227
Phone (774) 266-2111
Other providers in Warwick, RI
- Keith L Callahan
- April Cambre
- Kelly Suzanne Cambrola
- Ashley Nicole Camden
- Alyssa Campagnone
- Nathalie A Campbell
- Veronica Rebecca Campbell
- Canaan Psychotherapy Inc,
- Nicholas K Canby
- Candescent Eye Surgicenter LLC
All providers in Warwick, RI · Psychiatric/Mental Health Nurse Practitioner in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.