Doctor Name: | MISSY JO CAMPBELL |
NPI Number: | 1508108747 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 755204 |
Business Practice Address: | 280 Highway 418 E Silsbee, TX - 776563729 |
Business Phone Number: | 4093861200 |
Business Fax Number: | 4093861219 |
Mailing Address: | 280 Highway 418 E, SILSBEE |
State: | TX |
Postal Code: | 776563729 |
Phone Number: | 4093861200 |
Fax Number: | 4093861219 |
NPI Enumeration Date: | 03/26/2013 |
NPI Last Update Date: | 06/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 755204 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |