Individual
MS. MARY JANE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
12655 N CENTRAL EXPY, SUITE 300, DALLAS, TX 75243-1700
(972) 788-1858
(972) 788-2798
Mailing address
12655 N CENTRAL EXPY, SUITE 300, DALLAS, TX 75243-1700
(972) 788-1858
(972) 788-2798
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
501269
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62628502
—
TX
Enumeration date
06/05/2007
Last updated
05/06/2010
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