Individual
JACQUELINE K CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8988 LORTON MARKET STREET, # 100, LORTON, VA 22079
(703) 780-2800
(703) 780-0461
Mailing address
8988 LORTON MARKET STREET, SUITE 100, LORTON, VA 22079
(703) 780-2800
(703) 780-0461
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024170267
VA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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