Jennifer P Campbell
Individual provider Active NPI Registered Nurse · Saluda, SC
NPI 1134546757 · NPPES record last updated Mar 20, 2014
Key facts
- NPI
- 1134546757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 78201 (SC)
- Practice address
- 613 Newberry Hwy
Saluda, SC 29138-8903 - Phone
- (864) 445-2141
- NPI assigned
- Mar 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78201 | SC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of South Carlina | Past |
Accepting new patients | |
| State of South Carolina Comptroller General | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 78201 | SC | Yes |
Addresses
Primary practice location
613 Newberry Hwy
Saluda, SC 29138-8903
Mailing address
613 Newberry Hwy
Saluda, SC 29138-8903
Phone (864) 445-2141
Other providers in Saluda, SC
- Janice Monique Berry
- Teresa Hurt Berry
- Elizabeth Bledsoe
- Allison Rand Bonnette
- Angela Lanette Boyd
- Summer Mayson Cantrell
- Carolina Health Centers, Inc.
- Carolina Optical, LLC
- Tracey Caughman
- Seung Kyu Choi
All providers in Saluda, SC · Registered Nurse in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.