Provider Demographics
NPI:1568657401
Name:CAMPBELL, KAREN MICHELLE (RNFA)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MICHELLE
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:MICHELLE
Other - Last Name:HANCOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNFA
Mailing Address - Street 1:PO BOX 6137
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75608-6137
Mailing Address - Country:US
Mailing Address - Phone:903-746-8775
Mailing Address - Fax:
Practice Address - Street 1:1102 BLUERIDGE PKWY
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-1908
Practice Address - Country:US
Practice Address - Phone:903-746-8775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-13
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX677901163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant