Active NPIIndividual provider

Shannon Campbell, NP

Nurse Practitioner in Jacksonville, Florida

NPI Number1780050419
Practice location
4500 San Pablo RD S, Jacksonville, FL 32224-1865
Fax
—
Last updated
August 4, 2021

Shannon Campbell, NP is a Nurse Practitioner based in Jacksonville, FL. Shannon Campbell, NP holds the professional credentials of NP. The NPI number for Shannon Campbell, NP is 1780050419 and holds license No. APRN11013387 (FL). The current practice location address is 4500 San Pablo RD S, Jacksonville, FL 32224-1865 and the office can be reached by phone at 904-953-2000. The NPI was assigned on August 17, 2015 and the record was last updated in NPPES on August 4, 2021.

●Provider Profile Details

NPI Number
1780050419
Provider Name
Shannon Campbell
Credential
NP
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Enumeration Date
August 17, 2015
Last Update Date
August 4, 2021
Certification Date
August 4, 2021
NPI Status
Active

◉Business Practice Location Address

Address
4500 San Pablo RD S
Jacksonville, FL 32224-1865
State
Florida
ZIP
32224-1865
Country
US
Phone Number
904-953-2000

Get directions →

✉Business Mailing Address

Address
4500 San Pablo RD S
Jacksonville, FL 32224-1865
City
Jacksonville
State
FL
ZIP
32224-1865
Phone Number
904-953-2000

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse Practitioner363L00000XYesAPRN11013387FL
Nurse Practitioner, Family363LF0000XNo101.0120646VT
Registered Nurse163W00000XNo026.0103043VT

#Other Provider Identifiers

No legacy or other 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 Shannon Campbell, NP?

The NPI number of Shannon Campbell, NP is 1780050419. It was assigned on August 17, 2015 and is currently active in the NPPES registry.

What is the specialty of Shannon Campbell, NP?

Shannon Campbell, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X) and holds license No. APRN11013387 (FL).

Where does Shannon Campbell, NP practice?

The practice location is 4500 San Pablo RD S, Jacksonville, FL 32224-1865. The office can be reached at 904-953-2000 (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 1780050419 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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