MRS. JENNIFER SUE CAMPOS FNP-BC, CCRN, CMC
NPI 1043581820
Nurse Practitioner - Family in Carbondale, IL
About Mrs. Jennifer Sue Campos Fnp-bc, Ccrn, Cmc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENNIFER SUE CAMPOS FNP-BC, CCRN, CMC (NPI 1043581820) is an individual family provider in Carbondale, Illinois, licensed in Illinois (209009255) and active in the NPI registry since January 2012.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARBONDALE, IL 62901
CARBONDALE, IL 62901
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jennifer Campos's NPI number?
The NPI number for Jennifer Campos is 1043581820. It was assigned to this individual provider in the NPPES registry on January 25, 2012.
Where is Jennifer Campos located?
Jennifer Campos practices at 405 W Jackson St, Carbondale, IL 62901. The listed phone number is (618) 549-0721.
What is Jennifer Campos's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Jennifer Campos was last updated on January 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Jennifer Sue Campos, FNP-BC, CCRN, CMC · NPI 1043581820
Family physician in Carbondale, Illinois. Individual provider, active in the CMS NPPES registry since January 25, 2012.
## Identity
- **NPI:** 1043581820 (Entity type: Individual)
- **Enumerated:** January 25, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209009255 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 405 W JACKSON ST, Carbondale, IL 62901-1462
- **Phone:** (618) 549-0721
## Record status
- **NPPES last updated:** January 25, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1043581820) · Data from the CMS NPPES public registry.