Individual
JENNIFER SILAS CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5300 BOWMAN PARK, MACON, GA 31210-6583
(478) 741-3007
(478) 330-6288
Mailing address
5300 BOWMAN PARK, MACON, GA 31210-6583
(478) 741-3007
(478) 330-6288
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN145376
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108621948A
—
GA
Enumeration date
02/27/2006
Last updated
11/05/2025
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