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NPI Code Detail

MEDICARE: MS. GERLYN CAMPBELL APRN

MEDICARE: MS. GERLYN CAMPBELL APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN9474992FL

General Provider Information

NPI Number : 1639455819
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GERLYN CAMPBELL APRN
Provider Business Mailing Address
First Line : 15544 W COLONIAL DR
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-9556
Country : US
Telephone Number : 352-504-0340
Fax Number : 800-443-6422
Provider Business Practice Location Address
First Line : 118 W ORANGE ST
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-2537
Country : US
Telephone Number : 800-457-4573
Fax Number : 800-443-6422
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2011
Last Update Date : 04/03/2024

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