Provider Demographics
NPI:1831849918
Name:CAMPBELL, SHELLIE SHANKO (RN)
Entity type:Individual
Prefix:
First Name:SHELLIE
Middle Name:SHANKO
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 SCARLET TANAGER CT
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-9107
Mailing Address - Country:US
Mailing Address - Phone:828-775-7291
Mailing Address - Fax:
Practice Address - Street 1:430 MCDOWELL ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2635
Practice Address - Country:US
Practice Address - Phone:828-254-7291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC73257163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse