Campbell, Sheresa Ketron

Campbell, Sheresa Ketron is an individual health care provider with primary practice located at 15901 Bass Rd Suite 102, Fort Myers FL 33908. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Campbell, Sheresa Ketron can be contacted via phone (239) 343-9890.

Contact Information

Primary practice address
15901 Bass Rd Suite 102 Fort Myers FL 33908
Phone: (239) 343-9890
Fax: (239) 343-9898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 364SN0000X APRN1411892 Florida
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X APRN1411892 Florida

Profile Details

NPI number 1952344020
LBN Legal business name Campbell, Sheresa Ketron
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 21st, 2022 - 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 1952344020 NPPES
Florida MEDICAID 307034400

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