Individual
JANINE S CAMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, APN
Contact information
Practice address
CENTRA MEDICAL GROUP - THE SUMMIT, 1400 ENTERPRISE DR, LYNCHBURG, VA 24502
(630) 927-8213
Mailing address
CENTRA MEDICAL GROUP - THE SUMMIT HEALTH AND REHAB, 1400 ENTERPRISE DR, LYNCHBURG, VA 24502
(434) 582-1500
(630) 232-3985
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024178497
VA
363L00000X
Nurse Practitioner
209002162
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
$$$$$$$$$
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
CA4748
MEDICARE RAILROAD (GROUP)
IL
01
—
P01108937
MEDICARE RAILROAD (INDIVIDUAL)
IL
01
—
T01566
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
05/22/2007
Last updated
03/07/2023
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