Individual
JESSI JADE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
592 KY 15 SOUTH SUITE 5, CAMPTON, KY 41301-4130
(606) 205-3133
(866) 718-4137
Mailing address
PO BOX 1136, CAMPTON, KY 41301-1136
(606) 668-7393
(866) 718-4137
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013690
KY
Other
Enumeration date
07/31/2019
Last updated
09/16/2019
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