Individual
MRS. CAITLIN ELIZABETH CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
143 AZALEA TRAILS DR, BRANDON, MS 39047-7924
(601) 519-3704
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902075
MS
Other
Enumeration date
07/15/2018
Last updated
07/15/2018
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