Provider Demographics
NPI:1013360486
Name:CAMPBELL, JAMIE STRICKLAND (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:STRICKLAND
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:JAMIE
Other - Middle Name:RUSSELL
Other - Last Name:MEHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:100 S 10TH ST
Mailing Address - Street 2:
Mailing Address - City:LILLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27546-6690
Mailing Address - Country:US
Mailing Address - Phone:910-893-4111
Mailing Address - Fax:910-893-9850
Practice Address - Street 1:100 S 10TH ST
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-6690
Practice Address - Country:US
Practice Address - Phone:910-893-4111
Practice Address - Fax:910-893-9850
Is Sole Proprietor?:No
Enumeration Date:2016-07-20
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical