Active NPIIndividual providerSole proprietor

Amanda V Campbell, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Raynham, Massachusetts

NPI Number1720665029
Practice location
770 Broadway Unit 5A, Raynham, MA 02767-5271
Fax
—
Last updated
October 6, 2025

Amanda V Campbell is a Nurse Practitioner, Psych/Mental Health based in Raynham, MA. Amanda V Campbell practices in Raynham, MA and has the professional credentials of PMHNP-BC. The NPI Number for Amanda V Campbell is 1720665029 and holds a License No. RN2301959 (MA). The current practice location address for Amanda V Campbell is 770 Broadway Unit 5A, Raynham, MA 02767-5271 and can be reached out via phone at 774-481-5402.

Provider Profile Details

NPI Number
1720665029
Provider Name
Amanda V Campbell
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
770 Broadway Unit 5A, Raynham, MA 02767-5271
Phone Number
774-481-5402
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
March 24, 2021
Last Update Date
October 6, 2025
Certification Date
October 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
770 Broadway Unit 5A
Raynham, MA 02767-5271
Zip
02767-5271
Phone Number
774-481-5402
Raynham, MA 02767Get directions →

Provider Business Mailing Address Details

Address
770 Broadway Unit 5A
Raynham, MA 02767-5271
City
Raynham
State
MA
Zip
02767-5271
Fax Number
267-820-9121

License Information

License Number
RN2301959
License State
MA
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda V Campbell, PMHNP-BC?

The NPI number of Amanda V Campbell, PMHNP-BC is 1720665029. It was assigned on March 24, 2021 and is currently active in the NPPES registry.

What is the specialty of Amanda V Campbell, PMHNP-BC?

Amanda V Campbell, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2301959.

Where does Amanda V Campbell, PMHNP-BC practice?

The practice location is 770 Broadway Unit 5A, Raynham, MA 02767-5271. The office can be reached at 774-481-5402 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720665029 directly on the NPPES registry website.

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