| Doctor Name: | GINA L CAMPBELL |
| NPI Number: | 1184913535 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP-C |
| License Number: | 630023 |
| Business Practice Address: | 1901 Highway 97 E Suite 200 Jourdanton, TX - 780261517 |
| Business Phone Number: | 8305698147 |
| Business Fax Number: | |
| Mailing Address: | 1901 Highway 97 E, Suite 200 JOURDANTON |
| State: | TX |
| Postal Code: | 780261517 |
| Phone Number: | 8305698147 |
| Fax Number: | |
| NPI Enumeration Date: | 04/06/2011 |
| NPI Last Update Date: | 02/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 630023 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |