Individual
EMILEE RIKARD CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
811 W MAIN ST STE 201&209, LEXINGTON, SC 29072-2507
(803) 785-4777
(803) 358-6240
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 785-4777
(803) 358-6240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
20444
SC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
20444
SC
363LX0106X
Occupational Health Nurse Practitioner
20444
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20444
MEDICAL LICENSE
SC
05
—
NP4074
—
SC
Enumeration date
07/15/2016
Last updated
08/25/2021
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