Individual
MS. TERRY S CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNM, ARNP
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 778-3499
Mailing address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 778-3499
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
812P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78000213
—
KY
Enumeration date
06/28/2006
Last updated
10/25/2012
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