Provider Demographics
NPI:1841686128
Name:CAMPBELL, JAMIE NICHOLE (MD)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:NICHOLE
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:JAMIE
Other - Middle Name:NICHOLE
Other - Last Name:MALONEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1606 PRAIRIE CENTER PARKWAY PREMIER PEDIATRICS
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601
Mailing Address - Country:US
Mailing Address - Phone:303-655-1685
Mailing Address - Fax:303-655-1703
Practice Address - Street 1:1606 PRAIRIE CENTER PARKWAY PREMIER PEDIATRICS
Practice Address - Street 2:SUITE 300
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601
Practice Address - Country:US
Practice Address - Phone:303-655-1685
Practice Address - Fax:303-655-1703
Is Sole Proprietor?:No
Enumeration Date:2015-04-13
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO60297208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics