Campbell, Theresa J.
Campbell, Theresa J. is an sole proprietor health care provider with primary practice located at 557 Sandhurst Dr , Fayetteville NC 28304-4433. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Campbell, Theresa J. can be contacted via phone (910) 484-8114.Contact Information
Primary practice address
557 Sandhurst Dr
Fayetteville NC 28304-4433
Phone: (910) 484-8114
Fax: (910) 484-1564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201393 | North Carolina |
Profile Details
| NPI number | 1841246501 |
|---|---|
| LBN Legal business name | Campbell, Theresa J. |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2006 |
| Last updated | Oct 3rd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841246501 | NPPES |
| North Carolina | MEDICAID | 7000226 |
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