Individual
JERRY LEE CAMPBELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1550 HIGHWAY 15 S STE 240, JACKSON, KY 41339-0709
(606) 272-7533
(606) 824-5042
Mailing address
1550 HIGHWAY 15 S STE 240, JACKSON, KY 41339-0709
(606) 272-7533
(606) 824-5042
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4007079
KY
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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