Individual
MRS. JENNIFER L CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
17675 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-5492
(918) 453-5387
Mailing address
PO BOX 948, 17675 S. MUSKOGEE AVE, TAHLEQUAH, OK 74465-5000
(918) 453-5387
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
92610
OK
363LF0000X
Family Nurse Practitioner
Primary
92610
OK
Other
Enumeration date
11/17/2015
Last updated
02/09/2016
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