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Individual

RAVEN M. CAMPBELL-SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP07860
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
890984
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP07860
LA
363LP2300X
Primary Care Nurse Practitioner
Primary
890984
MS

Other

Enumeration date
06/26/2014
Last updated
03/03/2025
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