Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANNON LEE CAMPBELL, AGACNP-BC
ActiveMR. SHANNON LEE CAMPBELL, AGACNP-BC is a Adult Health Nurse Practitioner healthcare provider located in CLYDE, Texas. NPI 1871004358 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · CLYDE, TX
Registration Details
- NPI Number
- 1871004358
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2017 (8.809217472056 yrs)
- Last Updated
- Nov 15, 2022
- License
-
AP135592 (TX)
Practice Information
- Address
-
102 ARCHER STCLYDE, TX, 795104225Browse TX providers · Browse ZIP 79510
- Phone
- 3258931010
- Fax
- 3258931442
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.