| NPI | 1134361686 |
|---|---|
| Former Name | JANE LYNN CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA RN201888) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN201888) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2012-08-13 |