Healthcare Provider Details

I. General information

NPI: 1558509612
Provider Name (Legal Business Name): HANNAH CAMPBELL APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2009
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MEDICAL CENTER AVE
SEBRING FL
33870-5423
US

IV. Provider business mailing address

2808 SUNRISE DR
SEBRING FL
33872-2024
US

V. Phone/Fax

Practice location:
  • Phone: 863-403-4023
  • Fax: 863-403-4025
Mailing address:
  • Phone: 954-558-2446
  • Fax: 863-228-8503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9251225
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: