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Individual

JAMES THOMAS CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R875723
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09502276
MS
05
2406027
LA
Enumeration date
01/30/2014
Last updated
05/11/2016
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