Janice B Campbell, RN

Individual provider Active NPI Adult Psychiatric/Mental Health Registered Nurse · Orangeburg, NY

NPI 1902646797 · NPPES record last updated May 29, 2024

Key facts

NPI
1902646797
Entity type
Individual (NPI type 1)
Primary specialty
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X
License
621368 (NY)
Practice address
140 Old Orangeburg Rd
Orangeburg, NY 10962-1157
Phone
(845) 680-7769
Fax
(845) 680-5557
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
621368NYMDAdult Psychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 621368 NY Yes

Addresses

Primary practice location

140 Old Orangeburg Rd
Orangeburg, NY 10962-1157

Mailing address

140 Old Orangeburg Rd
Orangeburg, NY 10962-1157
Phone (845) 680-7769

Other providers in Orangeburg, NY

All providers in Orangeburg, NY · Adult Psychiatric/Mental Health Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.