Individual
JENA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAB DIRECTOR
Contact information
Practice address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(210) 251-9938
Mailing address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(210) 251-9938
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
214224
NC
291U00000X
Clinical Medical Laboratory
Primary
34D2236830
NC
Other
Enumeration date
09/28/2021
Last updated
10/04/2021
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