Individual
JEANETTE D. CAMPOS PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1815 GRIFFIN RD STE 204, DANIA BEACH, FL 33004-2252
(954) 624-7900
(877) 283-0663
Mailing address
6400 SHAFER CT STE 700, ROSEMONT, IL 60018-4989
(847) 692-1000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP2748312
FL
Other
Enumeration date
06/12/2012
Last updated
12/23/2020
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