Individual ProviderJessica Renee CampbellSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5310 E 31st St, Tulsa, OK 74135-5018(918) 600-3100PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Renee Campbell does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1497482087Provider TypeIndividualFull NameCampbell, Jessica ReneeGenderFemaleSole ProprietorNoEnumeration Date8/3/2022Last Updated8/16/2022Contact InformationPractice LocationPractice Address5310 E 31st St, Tulsa, OK 74135-5018Phone(918) 600-3100Fax(918) 560-1399Mailing LocationMailing Address5310 E 31st St, Tulsa, OK 74135-5018PhoneUnlisted PhoneFax(918) 560-1399Provider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer