Individual
DR. JUDITH L CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, BSN, RN, CARN
Contact information
Practice address
5914 RAVINE DRIVE, WAXHAW, NC 28173
(940) 453-5099
Mailing address
5914 RAVINE DRIVE, WAXHAW, NC 28173
(940) 453-5099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
691134
TX
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
691134
TX
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
302197
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10287
CARN - CERTIFIED ADDICTIONS REGISTERED NURSE
KS
01
—
1497019715
MEDICARE
TX
Enumeration date
07/02/2012
Last updated
07/16/2018
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