Individual
JESSICA R CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4340 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87110-1234
(505) 884-0417
Mailing address
4340 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87110-1234
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
62038
NM
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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