Campbell, Theresa J.

Campbell, Theresa J. is an sole proprietor health care provider with primary practice located at 557 Sandhurst Dr , Fayetteville NC 28304-4433. 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, Theresa J. can be contacted via phone (910) 484-8114.

Contact Information

Primary practice address
557 Sandhurst Dr Fayetteville NC 28304-4433
Phone: (910) 484-8114
Fax: (910) 484-1564
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201393 North Carolina

Profile Details

NPI number 1841246501
LBN Legal business name Campbell, Theresa J.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Oct 3rd, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841246501 NPPES
North Carolina MEDICAID 7000226

Popular Providers