Gloria Jean Campbell, NP
Individual provider Active NPI Primary Care Nurse Practitioner · Laureldale, PA
NPI 1497379333 · NPPES record last updated Oct 1, 2025
Key facts
- NPI
- 1497379333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- SP022063 (PA)
- Practice address
- 2125 Elizabeth Ave
Laureldale, PA 19605-2259 - Phone
- (610) 716-3695
- Fax
- (610) 424-5560
- NPI assigned
- Jun 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220722001364 | PA | Practitioner - Nurse Practitioner | 6901287820 | Reassigns benefits to 2 organizations |
| I20250307000338 | OH | Practitioner - Nurse Practitioner | 6901287820 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95014600 | CA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| Longevity Clinical LTC Associates of Ohio, Inc. | Gerontology | Current |
Accepting new patients |
| Longevity Long Term Medical Care of Pennsylvania PLLC | Gerontology | Current |
Accepting new patients |
Locations
12380 Plaza Dr
Parma, OH 44130
Phone (216) 898-8444
2507 Chestnut St
Chester, PA 19013
Phone (610) 872-5373
600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339
2595 Interstate Dr
Ste 103
Harrisburg, PA 17110
Phone (386) 672-4222
500 Philadelphia Ave
Shillington, PA 19607
Phone (610) 777-7841
30 West Ave
Wayne, PA 19087
Phone (610) 688-3235
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95014600 | CA | |
| Primary Care Nurse Practitioner | 363LP2300X | 95014600 | CA | |
| Gerontology Nurse Practitioner | 363LG0600X | SP022063 | PA | |
| Primary Care Nurse Practitioner | 363LP2300X | SP022063 | PA | Yes |
| Gerontology Nurse Practitioner | 363LG0600X | 95014600 | CA |
Addresses
Primary practice location
2125 Elizabeth Ave
Laureldale, PA 19605-2259
Mailing address
138 Micklitz Dr
Pottstown, PA 19464-1462
Phone (610) 716-3695
Other providers in Laureldale, PA
- Kathleen Norah Adams
- Alison Bauman
- Maureen Adelaide Bernard
- Victoria Marie Boland
- Kathleen Bower
- Jose Michael Castel
- Donald Carl Clouser Jr.
- Amanda B Craft
- Sara Dunkelberger
- Patrick Eigbe
All providers in Laureldale, PA · Primary Care Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.