Jackelynn Campos, is a
Registered Nurse - Psychiatric/mental Health, Child & Adolescent based in Oakland, California. Jackelynn Campos is licensed to practice in California (license number 95210993) and her current practice location is
3800 Coolidge Ave, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 482-2244.
NPI number for Jackelynn Campos is 1750741336 and her current mailing address is 3800 Coolidge Ave, Oakland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750741336.
Healthcare Provider's Profile
Full Name | Jackelynn Campos |
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Gender | Female |
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Speciality | Registered Nurse - Psychiatric/mental Health, Child & Adolescent |
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Location | 3800 Coolidge Ave, Oakland, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750741336
- Provider Enumeration Date: 02/25/2016
- Last Update Date: 06/01/2020
Medical Identifiers
Medical identifiers for Jackelynn Campos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750741336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
163WP0807X | Registered Nurse - Psychiatric/mental Health, Child & Adolescent | 95210993 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackelynn Campos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jackelynn Campos, 3800 Coolidge Ave, Oakland, CA 94602-3399 Ph: (510) 482-2244 | Jackelynn Campos, 3800 Coolidge Ave, Oakland, CA 94602-3399 Ph: (510) 482-2244 |
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