Provider Demographics
NPI:1942668041
Name:CAMPBELL, CHELSEA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 MARILYN LN
Mailing Address - Street 2:
Mailing Address - City:ALCOA
Mailing Address - State:TN
Mailing Address - Zip Code:37701-2118
Mailing Address - Country:US
Mailing Address - Phone:865-233-5858
Mailing Address - Fax:865-233-5870
Practice Address - Street 1:431 MARILYN LN
Practice Address - Street 2:
Practice Address - City:ALCOA
Practice Address - State:TN
Practice Address - Zip Code:37701-2118
Practice Address - Country:US
Practice Address - Phone:865-233-5858
Practice Address - Fax:865-233-5870
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20854363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily