Individual
JUSTIN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
860 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-7150
(662) 377-7155
Mailing address
860 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-7150
(662) 377-7155
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904197
MS
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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