Individual
JENNIFER D CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1307 FEDERAL ST, SECOND FLOOR, PITTSBURGH, PA 15212-4769
(877) 660-6777
(412) 359-8055
Mailing address
1307 FEDERAL ST, SECOND FLOOR, PITTSBURGH, PA 15212-4769
(877) 660-6777
(412) 359-8055
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052658
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1072469
PA CERTIFICATION
PA
01
—
MA052658
LICENSE
PA
Enumeration date
01/02/2007
Last updated
10/12/2020
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