Individual ProviderLisa Jane CampbellRegistered NurseNursing Service ProvidersPractice Address4 Cedar Ct, Middletown, NY 10940(845) 283-1392(845) 342-3614PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Jane 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 2 days ago.Profile DetailsProvider ID1982835583Provider TypeIndividualFull NameCampbell, Lisa JaneTitleMs.CredentialR.N.GenderFemaleSole ProprietorYesEnumeration Date7/30/2009Last Updated7/30/2009Contact InformationPractice LocationPractice Address4 Cedar Ct, Middletown, NY 10940Phone(845) 283-1392FaxUnlisted FaxMailing LocationMailing Address66 Murray Rd., Middletown, NV 10940Phone(845) 342-3614FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense378762-1New York