Campbell, Sherrell Faith
Campbell, Sherrell Faith is an individual health care provider with primary practice located at 4024 Stirrup Creek Dr , Durham NC 27703-9464. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Campbell, Sherrell Faith can be contacted via phone (919) 908-9787.Contact Information
Primary practice address
4024 Stirrup Creek Dr
Durham NC 27703-9464
Phone: (919) 908-9787
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | R067998 | Maryland |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AC003856 | Maryland |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 5011305 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R067998 | Maryland |
Profile Details
NPI number | 1457548323 |
---|---|
LBN Legal business name | Campbell, Sherrell Faith |
Credentials | PMHNP, PMHCS, BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 25th, 2007 |
Last updated | Sep 19th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457548323 | NPPES |
Maryland | MEDICAID | 5562490 |
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