Ericka Shavae Campbell, CNA
Nursing Care in Stone Mountain, GA. Individual provider (NPI-1).
NPI number1104544014
StatusActive
Last updated in NPPESAug 16, 2022
Details
- NPI
- 1104544014
- Entity type
- Individual (NPI-1)
- Name
- Ericka Shavae Campbell
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2022
- Certification date
- Aug 16, 2022
- Last updated
- Aug 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251J00000X | Nursing Care | – | – | Yes |
Practice location
4439 Russwood AveStone Mountain, GA 30083-6751
Phone 225-239-0666
Mailing address
4439 Russwood AveStone Mountain, GA 30083-6751
Phone 225-239-0666
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All 14 Nursing Care Agency providers in Stone Mountain · All 1,438 providers in Stone Mountain
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