Individual
JAZMINE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 772-3607
Mailing address
12929 ROSEMONT ST, OCEAN SPRINGS, MS 39564-9124
(228) 218-0927
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
802658211
MS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
802658211
MS
Other
Enumeration date
03/03/2021
Last updated
03/28/2026
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