Individual
JAN R CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1520 SUNDAY DR, RALEIGH, NC 27607-5253
(919) 782-3456
(919) 783-1441
Mailing address
1540 SUNDAY DR, RALEIGH, NC 27607-6010
(919) 782-3456
(919) 783-1441
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03817
NC
Other
Enumeration date
03/25/2014
Last updated
04/01/2021
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