Individual
MRS. JENNIFER SUE CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, CCRN, CMC
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721
Mailing address
405 W JACKSON, CARBONDALE, IL 62901-1462
(618) 549-0721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209009255
IL
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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