Active NPIIndividual providerSole proprietor

Jacqueline J Campbell, MS, RD, CDN, LDN

Dietitian, Registered in Enfield, Connecticut

NPI Number1033541370
Practice location
308 Hazard Ave, Enfield, CT 06082-4613
Fax
860-929-0858
Last updated
August 10, 2023

Jacqueline J Campbell is a Dietitian, Registered based in Enfield, CT. Jacqueline J Campbell practices in Enfield, CT and has the professional credentials of MS, RD, CDN, LDN. The NPI Number for Jacqueline J Campbell is 1033541370. The current practice location address for Jacqueline J Campbell is 308 Hazard Ave, Enfield, CT 06082-4613 and can be reached out via phone at 860-698-0656 and via fax at 860-929-0858.

Provider Profile Details

NPI Number
1033541370
Provider Name
Jacqueline J Campbell
Credential
MS, RD, CDN, LDN
Provider Entity Type
Individual
Gender
Female
Address
308 Hazard Ave, Enfield, CT 06082-4613
Phone Number
860-698-0656
Fax Number
860-929-0858
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 8, 2013
Last Update Date
August 10, 2023
Certification Date
August 10, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
308 Hazard Ave
Enfield, CT 06082-4613
Zip
06082-4613
Phone Number
860-698-0656
Fax Number
860-929-0858
Enfield, CT 06082Get directions →

Provider Business Mailing Address Details

Address
39 Concord Ter
Somers, CT 06071-1907
City
Somers
State
CT
Zip
06071-1907
Phone Number
413-854-1277

License Information

Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacqueline J Campbell, MS, RD, CDN, LDN?

The NPI number of Jacqueline J Campbell, MS, RD, CDN, LDN is 1033541370. It was assigned on August 8, 2013 and is currently active in the NPPES registry.

What is the specialty of Jacqueline J Campbell, MS, RD, CDN, LDN?

Jacqueline J Campbell, MS, RD, CDN, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Jacqueline J Campbell, MS, RD, CDN, LDN practice?

The practice location is 308 Hazard Ave, Enfield, CT 06082-4613. The office can be reached at 860-698-0656 (phone) or 860-929-0858 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033541370 directly on the NPPES registry website.

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