Amy L Campbell, RN

Individual provider Active NPI Community Health Registered Nurse · Woodbury, TN

NPI 1710213640 · NPPES record last updated Oct 28, 2009

Key facts

NPI
1710213640
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
RN0000155327 (TN)
Practice address
301 W Main St
Woodbury, TN 37190-1100
Phone
(615) 563-4243
NPI assigned
Oct 28, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN0000155327TNMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN0000155327 TN Yes

Addresses

Primary practice location

301 W Main St
Woodbury, TN 37190-1100

Mailing address

PO Box 453
Woodbury, TN 37190-0453
Phone (615) 556-2430

Other providers in Woodbury, TN

All providers in Woodbury, TN · Community Health Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.