SearchFlorida171M00000X

Jacqueline Campbell

NPI 1619368180 · on the registry since 2015 · sole proprietor

Practice

Address
3189 Sw Fambrough St
Port Saint Lucie, FL 34953
Phone
(772) 203-3026

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
101YM0800X
163W00000X
163WC0400X
3747A0650X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida