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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASPER AHMAD CAMPBELL

Active Sole Proprietor

JASPER AHMAD CAMPBELL is a In Home Supportive Care Agency healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1770090243 is currently active in the NPPES registry. Verify at CMS.

In Home Supportive Care Agency · FAYETTEVILLE, AR

Registration Details

NPI Number
1770090243
Provider Type
Individual
Gender
Male
NPI Issued
Jan 5, 2018 (8.6398418711607 yrs)
Last Updated
Apr 8, 2019
License
AR5510 (AR)
Sole Proprietor
Yes

Practice Information

Address
31 E CENTER ST STE 200J
FAYETTEVILLE, AR, 727015348
Browse AR providers · Browse ZIP 72701
Phone
4793018427
Primary Specialty
In Home Supportive Care Agency
253Z00000X
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.