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Individual
MRS. THERESA BEVERLY CAMPBELL
Active
Individual
MRS. THERESA BEVERLY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN273503
GA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
5017843
NC
363LN0005X
Critical Care Neonatal Nurse Practitioner
RN273503
GA
Other
Enumeration date
03/06/2023
Last updated
06/15/2023
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