Individual
CHRISTI A CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP,PHD
Contact information
Practice address
11110 TOM ADAMS DR, AUSTIN, TX 78753-3354
(512) 250-9140
Mailing address
PO BOX 170607, AUSTIN, TX 78717-0032
(512) 250-9140
(512) 250-2207
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
521075
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
521075
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177450702
—
TX
01
—
8Y5079
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/03/2005
Last updated
05/27/2020
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