Individual
JANE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4011 GARDINER POINT DR, LOUISVILLE, KY 40213-1988
(502) 451-5121
Mailing address
4223 BLOSSOMWOOD DR, LOUISVILLE, KY 40220-3603
(502) 548-0687
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3016655
KY
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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