JAZMINE CAMPBELL
NPI 1073108817
Student in an Organized Health Care Education/Training Program in Southaven, MS

Q: What is Jazmine Campbell's NPI number?

The NPI number for Jazmine Campbell is 1073108817. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Q: What is Jazmine Campbell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jazmine Campbell was last updated on March 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since March 03, 2021PECOS Enrolled

7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671(662) 772-3607 Get Directions Write a Review

NPPES record last updated: March 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2026, Mar 3, 2021 (2 updates tracked since 2021).

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About Jazmine Campbell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAZMINE CAMPBELL (NPI 1073108817) is an individual student in an organized health care education/training program in Southaven, Mississippi, licensed in Mississippi (802658211) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Orleans.

NPPES Registry Identity

NPI1073108817

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJAZMINE CAMPBELL

Location Address7601 SOUTHCREST PKWYSouthaven, MS 38671-4739

Mailing Address12929 Rosemont StOcean Springs, MS 39564-9124 · (228) 218-0927

Phone(662) 772-3607

Sole ProprietorNo

Enumeration DateMarch 3, 2021

Last NPPES UpdateMarch 28, 20262 updates tracked since enumeration

NPPES CertifiedMarch 28, 2026

✔ NPI 1073108817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MS · 802658211

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedBehavior AnalystTaxonomy 103K00000X · License 802658211 (MS)

7601 SOUTHCREST PKWY, Southaven, MS 38671

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Secondary Practice Location 1

Location 1733 Dante StNew Orleans, LA 70118-1013 · Phone (504) 517-1711

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jazmine Campbell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MID-SOUTH ANESTHESIA CONSULTANTS, PLLC

Specialist