National Provider Identifier Database

JOLLY CAMPBELL, RN – NPI #1104010669
Home Health


Contact Information

JOLLY CAMPBELL, RN
4559 S OAKENWALD AVE
CHICAGO, IL60653-4513
Phone: 773-373-4751
Fax:
Website:
Specialty Taxonomy Code
* Home Health 163WH0200X

* Indicates primary specialty

NPI Profile & details for JOLLY CAMPBELL

NPI Number 1104010669
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 08/28/2007
Last updated 08/28/2007 - About 19 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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