# KRISTY LYNNE CAMPBELL

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

## Provider details

- **NPI number:** 1760856314
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | ARNP9276766 | FL | Yes |

## Other

- **Enumeration date:** 11/19/2015
- **Last updated:** 10/30/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 016236200 | — | FL |
| 01 | — | C76HM | BLUE CROSS BLUE SHIELD | FL |