Provider Demographics
NPI:1053520221
Name:CAMPLIN, JANINE S (RN, MSN, APN)
Entity type:Individual
Prefix:
First Name:JANINE
Middle Name:S
Last Name:CAMPLIN
Suffix:
Gender:F
Credentials:RN, MSN, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CENTRA MEDICAL GROUP - THE SUMMIT HEALTH AND REHAB
Mailing Address - Street 2:1400 ENTERPRISE DR
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502
Mailing Address - Country:US
Mailing Address - Phone:434-582-1500
Mailing Address - Fax:630-232-3985
Practice Address - Street 1:CENTRA MEDICAL GROUP - THE SUMMIT
Practice Address - Street 2:1400 ENTERPRISE DR
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502
Practice Address - Country:US
Practice Address - Phone:630-927-8213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209002162363L00000X
VA0024178497363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL$$$$$$$$$Medicaid
ILP01108937OtherMEDICARE RAILROAD (INDIVIDUAL)
IL206147OtherMEDICARE PTAN (GROUP)
ILCA4748OtherMEDICARE RAILROAD (GROUP)
ILT01566OtherMEDICARE PTAN (INDIVIDUAL)
ILT01566OtherMEDICARE PTAN (INDIVIDUAL)