JENNIFER CAMPOLONG CRNP NPI 1730196064

NPI Information

  • NPI: 1730196064
  • Provider Name: JENNIFER CAMPOLONG, CRNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3050 REGENT BLVD, SUITE 400
    IRVING, TX
    ZIP 75063
  • Phone: (214) 689-8110

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NPI Details

Jennifer Campolong, CRNP is a family nurse practitioner in Irving, TX. Jennifer Campolong, CRNP NPI is 1730196064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3050 REGENT BLVD, SUITE 400
IRVING, TX
ZIP 75063
Phone: (214) 689-8110
Fax: (877) 257-3246

The NPI 1730196064 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 7/10/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilySP-007523PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P77586MEDICARE UPINPENNSYLVANIA
2066079MEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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