| Doctor Name: | MRS. KRISTEN JENSEN CAMPOS |
| NPI Number: | 1558779025 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F306963-1 |
| Business Practice Address: | 36 Round Hill Rd Kinnelon, NJ - 074053220 |
| Business Phone Number: | 9734921240 |
| Business Fax Number: | |
| Mailing Address: | 36 Round Hill Rd, KINNELON |
| State: | NJ |
| Postal Code: | 074053220 |
| Phone Number: | 9734921240 |
| Fax Number: | |
| NPI Enumeration Date: | 07/29/2014 |
| NPI Last Update Date: | 07/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | F306963-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |