Campbell, Mary Jane

Campbell, Mary Jane is an individual health care provider with primary practice located at 1910 Malvern Ave , Hot Springs AR 71901-7752. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Campbell, Mary Jane can be contacted via phone (501) 321-1000.

Contact Information

Primary practice address
1910 Malvern Ave Hot Springs AR 71901-7752
Phone: (501) 321-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C01047 Arkansas

Profile Details

NPI number 1295721371
LBN Legal business name Campbell, Mary Jane
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Mar 27th, 2008 - about 16 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 1295721371 NPPES
Arkansas Other 5T343 AR BCBS

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