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MAXINE HELEN CAMPBELL NPI 1992241830


NPI Information

NPI: 1992241830
Provider Name: MAXINE HELEN CAMPBELL
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
5971 SUITE C NEW JESUP HWY
BRUNSWICK, GA
ZIP 31525
Phone: (912) 242-1130
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Maxine Helen Campbell is a home health registered nurse in Brunswick, GA. Maxine Helen Campbell NPI is 1992241830. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5971 SUITE C NEW JESUP HWY
BRUNSWICK, GA
ZIP 31525-627
Phone: (912) 242-1130
Fax: (912) 342-8177

The enumeration date for this NPI number is 1/17/2017 and was last updated on 2/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WH0200XRegistered NurseHome Health063-R-1722GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11811371065OTHERGEORGIAHHA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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