Individual
COURTNEY LYNN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
173 EXECUTIVE DR, DANVILLE, VA 24541
(434) 791-4110
Mailing address
173 EXECUTIVE DR, DANVILLE, VA 24541-4101
(434) 791-4110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024177554
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528628989
NPI
—
Enumeration date
06/18/2019
Last updated
05/26/2022
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