Individual
KRISTY LYNNE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
17 DAVIS BLVD STE 200, TAMPA, FL 33606-3438
(813) 259-8760
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-2812
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9276766
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016236200
—
FL
01
—
C76HM
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/19/2015
Last updated
10/30/2020
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