Jessica K Campbell, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-102452 Issued in AL

Practice address

300 Med Park Dr
Thomasville, AL 36784-5760

Phone

(334) 636-2525

Fax

(334) 605-3111

NPI assigned

Jan 9, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• City of Jackson Healthcare Authority

  • Rural Acute Care Hospital
  • Jackson, AL
  • NPI 1952427874

  AL

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1396167490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 HIGHWAY 41 N",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364604182",
            "telephone_number": "251-282-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MED PARK DR",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367845760",
            "telephone_number": "334-636-2525",
            "fax_number": "334-605-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JESSICA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-09",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-102452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Alabama, Inc.
• Bishop Physical Therapy & Pelvic Health
• Bishop Physical Therapy & Pelvic Health
• Peter Bonsu, PHARMACIST
• Kay Brasell
• Carpenter Therapy Services, LLC
• Cynthia Renae Carpenter, LICSW-PIP
• Clark County Orthopedic Group LLC
• Clarke County Family Medicine LLC
• Clarke County Family Practice LLC

• All providers in Thomasville, AL
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.