Individual
NICOLE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1481 SW 105TH AVE, PEMBROKE PINES, FL 33025-4771
(954) 608-9843
Mailing address
1481 SW 105TH AVE, PEMBROKE PINES, FL 33025-4771
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11029998
FL
Other
Enumeration date
12/08/2023
Last updated
12/17/2023
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