Individual
MS. TEMICKA M CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
604 SOLITUDE CIR, GOODLETTSVILLE, TN 37072-4350
(615) 594-6449
Mailing address
604 SOLITUDE CIR, GOODLETTSVILLE, TN 37072-4350
(615) 594-6449
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
197617
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87-1324403
IRS
TN
Enumeration date
06/22/2021
Last updated
06/25/2021
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