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Contact Information

MYRA S CAMPBELL, APRN
2018 CLINCH AVENUE
KNOXVILLE, TN37916-2301
 Phone: 865-541-8660
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MYRA S CAMPBELL · (Female)

NPI # 1053874347
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 04/12/2019
Last updated 10/07/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 32161
  • TN Medicaid Q077398
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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