Individual
COURTNEY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1721 BIRMINGHAM RD, COLLEGE STATION, TX 77845-4082
(979) 764-1474
(979) 764-9249
Mailing address
5115 FANNIN ST STE 801, HOUSTON, TX 77004-5870
(713) 790-0841
(713) 790-1350
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
697302
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336563675
—
TX
01
—
8787NP
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
02/06/2014
Last updated
03/27/2025
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