Campbell, Judith L

Campbell, Judith L is an individual health care provider with primary practice located at 5914 Ravine Drive , Waxhaw NC 28173. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Campbell, Judith L can be contacted via phone (940) 453-5099.

Contact Information

Primary practice address
5914 Ravine Drive Waxhaw NC 28173
Phone: (940) 453-5099
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 691134 Texas
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 302197 North Carolina
Nursing Service Providers / Registered Nurse 163W00000X 691134 Texas

Profile Details

NPI number 1497019715
LBN Legal business name Campbell, Judith L
Credentials PHD, BSN, RN, CARN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2012
Last updated Jul 16th, 2018 - about 7 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 1497019715 NPPES
Kansas Other 10287 CARN - CERTIFIED ADDICTIONS REGISTERED NURSE
Kansas Other 1497019715 CARN - CERTIFIED ADDICTIONS REGISTERED NURSE

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