Individual
MISTY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
5154 BROWN LEAF WAY, POWDER SPRINGS, GA 30127-8910
(678) 779-0431
Mailing address
5154 BROWN LEAF WAY, POWDER SPRINGS, GA 30127-8910
(678) 779-0431
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN325774
GA
164W00000X
Licensed Practical Nurse
LPN078372
GA
Other
Enumeration date
11/09/2020
Last updated
01/07/2026
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