Jennifer Campolong in Irving - Family

Jennifer Campolong - NPI 1730196064

Jennifer Campolong is a Family in Irving, Texas. Jennifer Campolong practices all healthcare services and medical treatments related to Family. The NPI Number for Jennifer Campolong is 1730196064. The last update date is 2013-07-10.

Jennifer Campolong's current location address is 3050 Regent Blvd, Suite 400, Irving, Texas. You can contact this provider via phone number 2146898110 and fax number 8772573246. The mailing address for Jennifer Campolong is 3050 Regent Blvd, Suite 400, Irving, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Campolong
Address 3050 Regent Blvd, Suite 400, Irving, Texas
Phone Number 2146898110
Fax Number 8772573246
Sole Proprietor N
Credentials CRNP

NPI Number Detail

NPI Number 1730196064
Provider Enumeration Date 2006-08-01
Last Updated Date 2013-07-10

Provider Mailing Address Detail

Address 3050 Regent Blvd, Suite 400
City Irving
State Texas (TX)
Post Code 75063
Phone Number 2146898110
Fax Number 8772573246

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No SP-007523
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Jennifer Campolong

What is the Jennifer Campolong's unique identification number?

The Jennifer Campolong has been assigned the NPI (National Provider Identifier) Number 1730196064 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Jennifer Campolong is physically located?

The Jennifer Campolong is situated at the following address: 3050 Regent Blvd, Suite 400, Irving, TX 75063.

What is Jennifer Campolong's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jennifer Campolong is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1730196064 to Jennifer Campolong?

The Centers for Medicare & Medicaid Services originally issued the 1730196064 to Jennifer Campolong on 2006-08-01.

When was the information regarding Jennifer Campolong most recently updated?

The details pertaining to the Jennifer Campolong, including its address, specialty, and other relevant information, were last refreshed on 2013-07-10.

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