Individual
SHANEQUA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12004 JOURNEYS END TRL, HUNTERSVILLE, NC 28078-2387
(615) 589-0501
Mailing address
12004 JOURNEYS END TRL, HUNTERSVILLE, NC 28078-2387
(615) 589-0501
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
084021
NC
164W00000X
Licensed Practical Nurse
84021
NC
Other
Enumeration date
10/23/2019
Last updated
10/20/2021
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