Campbell, Shaquala

Campbell, Shaquala is an sole proprietor health care provider with primary practice located at 25058 Blue Star Hwy , Quincy FL 32351-7264. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Agencies / Nursing Care. Nursing Service Providers / Community Health is her primary health care specialty. Campbell, Shaquala can be contacted via phone (850) 590-5501.

Contact Information

Primary practice address
25058 Blue Star Hwy Quincy FL 32351-7264
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X RN9229071 Florida
Agencies / Nursing Care 251J00000X RN9229071 Florida

Profile Details

NPI number 1649957200
LBN Legal business name Campbell, Shaquala
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2023
Last updated May 8th, 2024 - about last year

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 1649957200 NPPES
Florida MEDICAID 1720776438

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