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Individual
JONATHAN CAMPOS
Active
Individual
JONATHAN CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR25978200
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15638600
NJ
Other
Enumeration date
09/05/2025
Last updated
10/14/2026
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