Most Relevant Information
Provider Data
| NPI Number: | 1003402843 |
| Provider Name: | ELIZABETH ANN CAMPBELL NURSE PRACTITIONER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LN0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 11010627 |
Most Important Dates
| Enumeration Date: | 12/16/2020 |
| Last Updated: | 12/21/2020 |
Provider Practice Location
800 PRUDENTIAL DR
JACKSONVILLE
FL
322078202
Practice Location Phone/Fax
| Phone: | 9042444242 |
| Fax: |
Provider Mailing Location
9800 TOUCHTON RD APT 432
JACKSONVILLE
FL
322468288
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |