DIEDRE CAMPBELL NPI 1154856821

NPI Information

  • NPI: 1154856821
  • Provider Name: DIEDRE CAMPBELL
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 6561 SHAFFERS WAY
    LITHONIA, GA
    ZIP 30058
  • Phone: (404) 587-8521

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NPI Details

Diedre Campbell is a family nurse practitioner in Lithonia, GA. Diedre Campbell NPI is 1154856821. 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:

6561 SHAFFERS WAY
LITHONIA, GA
ZIP 30058-427
Phone: (404) 587-8521

The enumeration date for this NPI number is 5/1/2017 and was last updated on 5/1/2017.

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
1363LF0000XNurse PractitionerFamilyRN195393GEORGIAYes

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: 11/21/2025

NPI Synchronization or Removal

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