Mallory Campbell, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

215699 Issued in AR

Practice address

3998 Highway 1 N
Forrest City, AR 72335-7637

Phone

(870) 633-1737

Fax

(870) 551-3724

NPI assigned

Feb 6, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kids for the Future of Helena, Inc

  • Early Intervention Provider Agency
  • Helena, AR
  • NPI 1386964351

  Registered Nurse

  NPD (past)
• Kids for the Future of Marianna, Inc.

  • Early Intervention Provider Agency
  • Marianna, AR
  • NPI 1285954339
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1346946829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2192",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723362192",
            "telephone_number": "870-208-8362",
            "fax_number": "870-208-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 HIGHWAY 1 N",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723357637",
            "telephone_number": "870-633-1737",
            "fax_number": "870-551-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MALLORY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "215699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Danielle Busby
• Albert O. Byles Jr., MHPP
• Hannah Michelle Byrd, OTA
• Tonya Caffey
• Jared Caldwell, PHARMD.
• Holly Cantrell, MHPP
• Tammy Carden, QBHP
• Austin J Carlson, PHARMD
• Lance Carrier, CASE MANAGER
• Djuana Leigh Cartillar, D.D.S.

• Registered Nurse in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.