Individual
MRS. SHAQUALA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25058 BLUE STAR HWY, QUINCY, FL 32351-7264
(850) 590-5501
Mailing address
PO BOX 182, HAVANA, FL 32333-0182
(850) 590-5501
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN9229071
FL
251J00000X
Nursing Care Agency
RN9229071
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720776438
—
FL
Enumeration date
07/05/2023
Last updated
05/08/2024
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