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Brittany Nicole Campbell
Medical Physician Assistant in Springfield, Illinois
NPI 1962024109

Brittany Nicole Campbell is a Medical Physician Assistant based in Springfield, IL and is specialized in Medical. Brittany Nicole Campbell practices in Springfield, IL. The NPI Number for Brittany Nicole Campbell is 1962024109 and holds a License No. (Illinois).

The current practice location address for Brittany Nicole Campbell is 2266 Boysenberry Ln Apt 4, Springfield, IL and can be reached out via phone at 618-964-4905.

Location: 2266 Boysenberry Ln Apt 4, Springfield, IL, 62711-5414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962024109
Provider Name
Brittany Nicole Campbell
Credential
Provider Entity Type
Individual
Gender
Female
Address
2266 Boysenberry Ln Apt 4, Springfield, IL, 62711-5414
Phone Number
618-964-4905
Fax Number
Provider Enumeration Date
05/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2266 Boysenberry Ln Apt 4
City
Springfield
State
Illinois
Zip
62711-5414
Phone Number
618-964-4905
Fax Number
person
Provider Business Mailing Address Details
Address
2266 Boysenberry Ln Apt 4
City
Springfield
State
Illinois
Zip
62711-5414
Phone Number
618-964-4905
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
085.008537 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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