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Jill G Campbell

Nurse Practitioner, Family in Shenandoah, TX. Individual provider (NPI-1).

NPI number1164023461
StatusActive
Last updated in NPPESNov 3, 2020

Details

NPI
1164023461
Entity type
Individual (NPI-1)
Name
Jill G Campbell
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 3, 2020
Certification date
Nov 3, 2020
Last updated
Nov 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family640375TXYes

Practice location

128 Vision Park Blvd Ste 150
Shenandoah, TX 77384-3018

Phone 281-642-2501

Mailing address

19 Journal Leaf Pl
The Woodlands, TX 77382-1744

Phone 281-642-2501

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