Individual provider · Type 1 NPI

Domonique Shantell Campbell-Wilson

Family Nurse Practitioner · Wyckoff, NJ

NPI number 1831004639 Active

Practice location

303 Franklin Ave
Wyckoff, NJ 07481-2095

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X26NJ15689200 (NJ)

Family Nurse Practitioner: Definition to come...

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About NPI 1831004639

Domonique Shantell Campbell-Wilson's National Provider Identifier is 1831004639, issued on Aug 17, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wyckoff, NJ. The record was last updated on Nov 2, 2026.