Provider Demographics
NPI:1750646725
Name:CAMPBELL, TRISHA KELLY (APRN)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:KELLY
Last Name:CAMPBELL
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Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:355 PEYTON ST
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42276-1682
Mailing Address - Country:US
Mailing Address - Phone:270-731-8889
Mailing Address - Fax:877-552-1445
Practice Address - Street 1:355 PEYTON ST
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:KY
Practice Address - Zip Code:42276-1682
Practice Address - Country:US
Practice Address - Phone:270-731-8889
Practice Address - Fax:877-552-1445
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3007525363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily