MEDICARE: MS. PATTI E CAMPBELL R.N.

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
1	163WS0200X	School Registered Nurse	RN0000154565	TN

General Provider Information

NPI Number	:	1962693705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATTI E CAMPBELL R.N.

Provider Business Mailing Address
First Line	:	3404 HARBORWOOD CIR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-4376
Country	:	US
Telephone Number	:	615-477-0954
Fax Number	:

Provider Business Practice Location Address
First Line	:	3718 NOLENSVILLE PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-3302
Country	:	US
Telephone Number	:	615-880-2200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2007
Last Update Date	:	08/07/2007

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