Individual
JENNIFER CAROLE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14519 DETROIT AVE, LAKEWOOD, OH 44107-4316
(216) 521-4200
Mailing address
402 PARKSIDE DR, BAY VILLAGE, OH 44140-2550
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
090769
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2805352
—
OH
Enumeration date
11/25/2007
Last updated
11/14/2016
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