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Individual

MRS. SUPORIOR R HARRIS-CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
5 MOBILE INFIRMARY CIR, POB SUITE 308, MOBILE, AL 36607-3513
(251) 435-7223
(251) 435-7282
Mailing address
12125 WOODCREST EXECUTIVE DR, SUITE 220, SAINT LOUIS, MO 63141-5001
(314) 317-0600
(314) 317-0606

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1063773
AL
363LF0000X
Family Nurse Practitioner
Primary
1063773
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133128
AL
Enumeration date
06/02/2006
Last updated
01/08/2015
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