Macy Campbell, APN
Nurse Practitioner, Pediatrics in Rockford, IL. Individual provider (NPI-1).
NPI number1558814673
StatusActive
Last updated in NPPESJun 28, 2023
Details
- NPI
- 1558814673
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Macy Campbell
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2016
- Certification date
- Jun 28, 2023
- Last updated
- Jun 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 277-000716 | IL | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | 209014491 | IL |
Other names
- Macy Klumpp (Other Name)
Practice location
3505 N Bell School RdRockford, IL 61114-6624
Phone 779-696-0300
Mailing address
Po Box 78866Milwaukee, WI 53278-8866
Phone 779-696-7150
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