MADELENA CAMPBELL RN CPNP-BC CPN NPI 1720368855

NPI Information

NPI: 1720368855
Provider Name: MADELENA CAMPBELL, RN, CPNP-BC, CPN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
12261 HIGHWAY 49
SUITE 11
GULFPORT, MS
ZIP 39503
Phone: (228) 867-5185
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Madelena Campbell, RN, CPNP-BC, CPN is a pediatrics nurse practitioner in Gulfport, MS. Madelena Campbell, RN, CPNP-BC, CPN NPI is 1720368855. 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:

12261 HIGHWAY 49
SUITE 11
GULFPORT, MS
ZIP 39503-975
Phone: (228) 867-5185
Fax: (228) 867-5189

The NPI 1720368855 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/20/2011 and was last updated on 4/28/2020.

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
1	163W00000X	Registered Nurse		R868611	MISSISSIPPI	No
2	363LP0200X	Nurse Practitioner	Pediatrics	R868611	MISSISSIPPI	No
3	363LP0200X	Nurse Practitioner	Pediatrics	868611	MISSISSIPPI	Yes

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: 4/28/2024

NPI Synchronization or Removal

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