SHERESA KETRON CAMPBELL APRN NPI 1952344020

NPI Information

NPI: 1952344020
Provider Name: SHERESA KETRON CAMPBELL, APRN
Classification: Clinical Nurse Specialist - 364SN0000X
Entity Type: Individual

Specialization: Neonatal

PECOS Registration: Yes

Address:
15901 BASS RD
SUITE 102
FORT MYERS, FL
ZIP 33908
Phone: (239) 343-9890
Get Directions

Sheresa Ketron Campbell, APRN is a neonatal clinical nurse specialist in Fort Myers, FL. Sheresa Ketron Campbell, APRN NPI is 1952344020. 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:

15901 BASS RD
SUITE 102
FORT MYERS, FL
ZIP 33908
Phone: (239) 343-9890
Fax: (239) 343-9898

The NPI 1952344020 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 6/14/2006 and was last updated on 3/24/2021.

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	364SN0000X	Clinical Nurse Specialist	Neonatal	APRN1411892	FLORIDA	Yes

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
1	307034400	MEDICAID	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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