# AUDRA V CAMPBELL

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

## Provider details

- **NPI number:** 1396892949
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3002535 | KY | Yes |
| 363L00000X | Nurse Practitioner | 3002535 | LA | — |
| 363LP0200X | Pediatric Nurse Practitioner | 3002535 | KY | — |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 04/24/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200474820 | — | IN |
| 05 | — | 78003969 | — | KY |