Individual
MRS. AMY CALVERT CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
2080 S FRONTAGE RD STE 112, VICKSBURG, MS 39180-5882
(601) 883-6304
(601) 883-6325
Mailing address
PO BOX 649113, DALLAS, TX 75264-9113
(855) 343-5763
(855) 343-5763
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R881049
MS
363LF0000X
Family Nurse Practitioner
Primary
R881049
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R881049
LICENSE
MS
Enumeration date
05/16/2011
Last updated
03/27/2023
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