| NPI | 1548360266 |
|---|---|
| Former Name | JOAN ANN CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 302107) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 222506) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2025-09-11 |