Individual
SHERESA KETRON CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
15901 BASS RD, SUITE 102, FORT MYERS, FL 33908
(239) 343-9890
(239) 343-9898
Mailing address
P.O. BOX 2147, FT MYERS, FL 33902-2147
(239) 343-9890
(239) 343-9898
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
APRN1411892
FL
364SN0000X
Neonatal Clinical Nurse Specialist
APRN1411892
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307034400
—
FL
Enumeration date
06/14/2006
Last updated
07/21/2022
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