Provider Demographics
NPI:1962826925
Name:CAMPBELL, CHERISH E (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:CHERISH
Middle Name:E
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1828 W THOMAS ST
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70401-2961
Mailing Address - Country:US
Mailing Address - Phone:228-990-2274
Mailing Address - Fax:
Practice Address - Street 1:1828 W THOMAS ST
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-2961
Practice Address - Country:US
Practice Address - Phone:985-419-2250
Practice Address - Fax:844-887-4999
Is Sole Proprietor?:No
Enumeration Date:2014-02-12
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA200125363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics