Provider Demographics
NPI:1689254732
Name:CAMPBELL, DENISE VIOLET (MSN ARNP FNP-BC)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:VIOLET
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MSN ARNP FNP-BC
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Mailing Address - Street 1:14690 SPRING HILL DR STE 305
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-8102
Mailing Address - Country:US
Mailing Address - Phone:352-277-5348
Mailing Address - Fax:352-606-2857
Practice Address - Street 1:12900 CORTEZ BLVD STE 101
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-6897
Practice Address - Country:US
Practice Address - Phone:352-596-1101
Practice Address - Fax:352-596-7869
Is Sole Proprietor?:No
Enumeration Date:2021-04-13
Last Update Date:2021-08-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11013642363LF0000X
FL11013642363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily