Individual
PATRECIA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2570 BAILEY AVE STE 7, JACKSON, MS 39213-6905
(769) 251-1408
Mailing address
616 LEXINGTON AVE, JACKSON, MS 39209-6325
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902559
MS
Other
Enumeration date
08/01/2020
Last updated
08/01/2020
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