Individual
MRS. SHELLEY JEAN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNNP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-0467
Mailing address
1620 ARGUS STREET, LASALLE, ONTARIO N9J 3-G5
(519) 734-7590
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
4704182158
MI
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
4704182158
MI
Other
Enumeration date
10/14/2006
Last updated
10/02/2008
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