Individual
SUSAN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1376 HIGHWAY 36, HAZLET, NJ 07730-1716
(732) 264-5500
Mailing address
40 S MAIN ST, STE 1300, MEMPHIS, TN 38103-5513
(901) 422-7617
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00635900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ00635900
NEW JERSEY NP LICENSE
NJ
Enumeration date
05/19/2016
Last updated
11/18/2021
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