Campbell, Nicole Lavon-Renee

Campbell, Nicole Lavon-Renee is an individual health care provider with primary practice located at 6632 S State Route 48 , Maineville OH 45039-9758. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Campbell, Nicole Lavon-Renee can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
6632 S State Route 48 Maineville OH 45039-9758
Phone: (866) 389-2727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 026298 Ohio

Profile Details

NPI number 1104452051
LBN Legal business name Campbell, Nicole Lavon-Renee
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2020
Last updated Mar 14th, 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 1104452051 NPPES
Ohio MEDICAID 0408847

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