Individual provider · Type 1 NPI
Ericka Shavae Campbell, CNA
Nursing Care Agency · Stone Mountain, GA
NPI number
1104544014
Active
Practice location
4439 Russwood Ave
Stone Mountain, GA 30083-6751
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Care Agency Primary | 251J00000X | None listed |
Nursing Care Agency: A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
About NPI 1104544014
Ericka Shavae Campbell, CNA's National Provider Identifier is 1104544014, issued on Aug 16, 2022. The primary taxonomy on file is Nursing Care Agency (251J00000X), and the practice location is in Stone Mountain, GA. The record was last updated on Aug 16, 2022.