Provider Demographics
NPI:1417749102
Name:CAMPIONE, JENNIFER L (RN, MSN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:CAMPIONE
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:L
Other - Last Name:SEYMOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MSN
Mailing Address - Street 1:275 BOULEVARD DES PINS
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32080-6412
Mailing Address - Country:US
Mailing Address - Phone:904-742-6041
Mailing Address - Fax:
Practice Address - Street 1:275 BOULEVARD DES PINS
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32080-6412
Practice Address - Country:US
Practice Address - Phone:904-742-6041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9241377171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach