Individual
MS. NAKIA M CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN,LMT
Contact information
Practice address
201 WESLEY ST, TULLAHOMA, TN 37388-5158
(931) 841-4491
Mailing address
207 N JACKSON ST, TULLAHOMA, TN 37388-3525
(931) 841-4491
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
66267
TN
225700000X
Massage Therapist
Primary
10218
TN
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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