NPI 1396892949 · live from the CMS NPI Registry
Audra V Campbell, ARNP
Nurse Practitioner in Louisville, KY. National Provider Identifier 1396892949, active.
NPI record
| NPI | 1396892949 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 3991 Dutchmans Ln Ste 303, Louisville, KY 40207 |
| Practice phone | 502-891-8300 |
| Mailing address | Po Box 776879, Chicago, IL 60677 |
| Enumerated | January 5, 2007 |
| Last updated | April 24, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 3002535 (LA) |
| Nurse Practitioner, Pediatrics | 363LP0200X | 3002535 (KY) |
| Nurse Practitioner primary | 363L00000X | 3002535 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.