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Mr. Shannon Lee Campbell, AGACNP-BC
Adult Health Nurse Practitioner in Clyde, Texas
NPI 1871004358

Shannon Lee Campbell is an Adult Health Nurse Practitioner based in Clyde, TX and is specialized in Adult Health. Shannon Lee Campbell practices in Clyde, TX and has the professional credentials of AGACNP-BC. The NPI Number for Shannon Lee Campbell is 1871004358 and holds a License No. AP135592 (Texas).

The current practice location address for Shannon Lee Campbell is 102 Archer St, Clyde, TX and can be reached out via phone at 325-893-1010 and via fax at 325-893-1442.

Location: 102 Archer St, Clyde, TX, 79510-4225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871004358
Provider Name
Shannon Lee Campbell
Credential
AGACNP-BC
Provider Entity Type
Individual
Gender
Male
Address
102 Archer St, Clyde, TX, 79510-4225
Phone Number
325-893-1010
Fax Number
325-893-1442
Provider Enumeration Date
10/23/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 Archer St
City
Clyde
State
Texas
Zip
79510-4225
Phone Number
325-893-1010
Fax Number
325-893-1442
person
Provider Business Mailing Address Details
Address
102 Archer St
City
Clyde
State
Texas
Zip
79510-4225
Phone Number
325-893-1010
Fax Number
325-893-1442
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
AP135592 (Texas)
Definition
Definition to come...
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