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Individual

SHERRY B. CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, FNP-C

Contact information

Practice address
8001 YOUREE DR, SUITE 400, SHREVEPORT, LA 71115-2302
(318) 212-3456
(318) 212-3885
Mailing address
8001 YOUREE DR, SUITE 400, SHREVEPORT, LA 71115-2302
(318) 212-3456
(318) 212-3885

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN047643
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1534013
LA
Enumeration date
05/10/2006
Last updated
11/18/2007
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