# MRS. REAVONNE S CAMPBELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1073100186
- **Gender:** F
- **Credential:** LPN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | 4703123184 | MI | Yes |
| 3747P1801X | Personal Care Attendant | — | MI | — |
| 374U00000X | Home Health Aide | — | NULL | — |

## Other

- **Enumeration date:** 12/22/2020
- **Last updated:** 09/30/2025