Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACQUELYN DORN CAMPBELL, M.S.,L.D.
Active Sole ProprietorNutrition, Education · LULING, TX
Registration Details
- NPI Number
- 1245506815
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2012 (14.106936686065 yrs)
- Last Updated
- Mar 28, 2012
- License
-
DT01962 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
522 E PIERCE STLULING, TX, 786482613Browse TX providers · Browse ZIP 78648
- Phone
- 8303510566
- Primary Specialty
-
Nutrition, Education
133NN1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.