Doctor Name: | MRS. MARY CAMPBELL |
NPI Number: | 1932402682 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | L33861 |
Business Practice Address: | 2302 W. 28th, Suite A Pine Bluff, AR - 71603 |
Business Phone Number: | 8705361400 |
Business Fax Number: | 8705365196 |
Mailing Address: | 2739 Hwy 365 North, REDFIELD |
State: | AR |
Postal Code: | 72132 |
Phone Number: | 8705503907 |
Fax Number: | |
NPI Enumeration Date: | 12/17/2010 |
NPI Last Update Date: | 12/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | L33861 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |