Jacqueline Campbell, is a
Case Manager/care Coordinator based in Port Saint Lucie, Florida. Jacqueline Campbell is licensed to practice in Florida (license number RN 9219448) and her current practice location is
3189 Sw Fambrough St, Port Saint Lucie, Florida. She can be reached at her office (for appointments etc.) via phone at
(772) 203-3026.
NPI number for Jacqueline Campbell is 1619368180 and her current mailing address is 3189 Sw Fambrough St, Port Saint Lucie, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619368180.
Healthcare Provider's Profile
Full Name | Jacqueline Campbell |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 3189 Sw Fambrough St, Port Saint Lucie, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619368180
- Provider Enumeration Date: 02/05/2015
- Last Update Date: 02/05/2015
Medical Identifiers
Medical identifiers for Jacqueline Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619368180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | RN 9219448 (Florida) | Secondary |
163W00000X | Registered Nurse | RN 9219448 (Florida) | Secondary |
163WC0400X | Registered Nurse - Case Management | RN 9219448 (Florida) | Secondary |
171M00000X | Case Manager/care Coordinator | RN 9219448 (Florida) | Primary |
3747A0650X | Technician - Attendant Care Provider | RN 9219448 (Florida) | Secondary |
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. Jacqueline Campbell 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 |
Jacqueline Campbell, 3189 Sw Fambrough St, Port Saint Lucie, FL 34953-4541 Ph: (772) 203-3026 | Jacqueline Campbell, 3189 Sw Fambrough St, Port Saint Lucie, FL 34953-4541 Ph: (772) 203-3026 |
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