Healthcare Provider Details

I. General information

NPI: 1306288758
Provider Name (Legal Business Name): CHRISTINA R CAMPBELL CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA R KUREK RN

II. Dates (important events)

Enumeration Date: 07/26/2013
Last Update Date: 01/02/2023
Certification Date: 01/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921B JASONWAY AVE
COLUMBUS OH
43214-2330
US

IV. Provider business mailing address

921 JASONWAY AVE STE B
COLUMBUS OH
43214-2456
US

V. Phone/Fax

Practice location:
  • Phone: 614-268-8800
  • Fax:
Mailing address:
  • Phone: 614-268-8800
  • Fax: 614-447-8876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberRN.341690
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPRN.CNP.15095
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: