Individual
STEPHANIE MARIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGNP-C
Contact information
Practice address
550 S. PEORIA AVENUE, TULSA, OK 74120
(918) 588-1900
(918) 582-6405
Mailing address
912 E SHREVEPORT ST, BROKEN ARROW, OK 74011-8879
(918) 286-0517
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
106563
OK
Other
Enumeration date
06/29/2015
Last updated
10/29/2015
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