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Jacqueline Campbell

Nurse's Aide in Plymouth Meeting, PA. Individual provider (NPI-1).

NPI number1114101698
StatusActive
Last updated in NPPESDec 20, 2007

Details

NPI
1114101698
Entity type
Individual (NPI-1)
Name
Jacqueline Campbell
Sex
Female
Sole proprietor
No
Enumeration date
Dec 20, 2007
Last updated
Dec 20, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's Aide9605727PAYes

Practice location

2250 Hickory Rd
Plymouth Meeting, PA 19462-1047

Phone 610-834-1122

Mailing address

1532 W 4th St
Williamsport, PA 17701-5609

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