MR. JACK WARREN CAMPBELL IDC
NPI 1780897207
Military Health Care Provider - Independent Duty Corpsman in Fpo, AA

Active since May 08, 2007

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jack Warren Campbell Idc NPPES

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

MR. JACK WARREN CAMPBELL IDC (NPI 1780897207) is an individual independent duty corpsman provider in Fpo, AA and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1780897207
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. JACK WARREN CAMPBELLCredential: IDC
Location AddressNMCB 133Fpo, AA 34099
Mailing Address1703 Chancer LnSlidell, LA 70461-4558 · (228) 313-8176
Sole ProprietorNo
Enumeration DateMay 8, 2007
Last NPPES UpdateApril 20, 2008
NPI 1780897207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Military Health Care Provider (Independent Duty Corpsman)
NMCB 133, UNIT 60254
FPO, AA 34099

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 Jack Campbell's NPI number?

The NPI number for Jack Campbell is 1780897207. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Jack Campbell located?

Jack Campbell practices at Nmcb 133, Fpo, AA 34099. The listed phone number is (228) 871-2819.

What is Jack Campbell's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Jack Campbell was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.