Individual
JACK CAMPBELL-CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14404 SOMMERVILLE CT, MIDLOTHIAN, VA 23113-6835
(804) 378-1800
Mailing address
6709 THAYER CT, RICHMOND, VA 23226-2959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06240013
VA
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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