Domonique S Campbell-Wilson
Nurse Practitioner, Family in Wyckoff, New Jersey
1831004639- Practice location
- 303 Franklin Ave, Wyckoff, NJ 07481-2095
- Phone
- 201-891-6660
- Fax
- —
- Last updated
- November 2, 2026
Domonique Shantell Campbell-Wilson is a Nurse Practitioner, Family based in Wyckoff, NJ. Domonique Shantell Campbell-Wilson practices in Wyckoff, NJ. The NPI Number for Domonique Shantell Campbell-Wilson is 1831004639 and holds a License No. 26NJ15689200 (NJ). The current practice location address for Domonique Shantell Campbell-Wilson is 303 Franklin Ave, Wyckoff, NJ 07481-2095 and can be reached out via phone at 201-891-6660.
Provider Profile Details
- NPI Number
- 1831004639
- Provider Name
- Domonique Shantell Campbell-Wilson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 303 Franklin Ave, Wyckoff, NJ 07481-2095
- Phone Number
- 201-891-6660
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 17, 2026
- Last Update Date
- November 2, 2026
- Certification Date
- November 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 303 Franklin Ave
Wyckoff, NJ 07481-2095 - City
- Wyckoff
- State
- New Jersey
- Zip
- 07481-2095
- Phone Number
- 201-891-6660
Provider Business Mailing Address Details
- Address
- 303 Franklin Ave
Wyckoff, NJ 07481-2095 - City
- Wyckoff
- State
- NJ
- Zip
- 07481-2095
- Phone Number
- 201-891-6660
License Information
- License Number
- 26NJ15689200
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Domonique S Campbell-Wilson?
The NPI number of Domonique S Campbell-Wilson is 1831004639. It was assigned on August 17, 2026 and is currently active in the NPPES registry.
What is the specialty of Domonique S Campbell-Wilson?
Domonique S Campbell-Wilson is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ15689200.
Where does Domonique S Campbell-Wilson practice?
The practice location is 303 Franklin Ave, Wyckoff, NJ 07481-2095. The office can be reached at 201-891-6660 (phone).
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 1831004639 directly on the NPPES registry website.