Individual
DAWNETTE GAYLENE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
10542 BLACK PINE LN, WALDORF, MD 20603-6701
(301) 537-3642
Mailing address
10542 BLACK PINE LN, WALDORF, MD 20603-6701
(301) 537-3642
(240) 669-9997
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R219301
MD
Other
Enumeration date
11/25/2020
Last updated
06/14/2022
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