Campbell, Amy Calvert

Campbell, Amy Calvert is an individual health care provider with primary practice located at 2080 S Frontage Rd Ste 112 , Vicksburg MS 39180-5882. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Campbell, Amy Calvert can be contacted via phone (601) 883-6304.

Contact Information

Primary practice address
2080 S Frontage Rd Ste 112 Vicksburg MS 39180-5882
Phone: (601) 883-6304
Fax: (601) 883-6325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R881049 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R881049 Mississippi

Profile Details

NPI number 1770876377
LBN Legal business name Campbell, Amy Calvert
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2011
Last updated Mar 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770876377 NPPES
Mississippi Other R881049 LICENSE

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