Active NPIOrganization

Jacqui Campbell Nutrition

Dietitian, Registered in Enfield, Connecticut

NPI Number1063273712
Practice location
308 Hazard Ave, Enfield, CT 06082-4613
Fax
860-929-0858
Last updated
January 19, 2024

Jacqui Campbell Nutrition is a healthcare organization based in Enfield, CT. Jacqui Campbell Nutrition practices in Enfield, CT. The NPI Number for Jacqui Campbell Nutrition is 1063273712. The current practice location address for Jacqui Campbell Nutrition 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
1063273712
Provider Name
Jacqui Campbell Nutrition
Provider Entity Type
Organization
Address
308 Hazard Ave, Enfield, CT 06082-4613
Phone Number
860-698-0656
Fax Number
860-929-0858
Primary Taxonomy
Dietitian, Registered · 133V00000X
Organization Subpart
No
Authorized Official
Jacqueline J Campbell, MS, RD, CDN, LDN · Owner · 860-698-0656
Provider Enumeration Date
January 19, 2024
Last Update Date
January 19, 2024
Certification Date
January 19, 2024
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
308 Hazard Ave
Enfield, CT 06082-4613
City
Enfield
State
CT
Zip
06082-4613
Phone Number
860-698-0656
Fax Number
860-929-0858

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 Jacqui Campbell Nutrition?

The NPI number of Jacqui Campbell Nutrition is 1063273712. It was assigned on January 19, 2024 and is currently active in the NPPES registry.

What is the specialty of Jacqui Campbell Nutrition?

Jacqui Campbell Nutrition is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Jacqui Campbell Nutrition 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 1063273712 directly on the NPPES registry website.

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