Provider Demographics
NPI:1285833004
Name:MCCAMPBELL, LINDA (FNP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:MCCAMPBELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:LAGUNA VISTA
Mailing Address - State:TX
Mailing Address - Zip Code:78578-2636
Mailing Address - Country:US
Mailing Address - Phone:956-943-1774
Mailing Address - Fax:856-421-2787
Practice Address - Street 1:202 SECOND ST
Practice Address - Street 2:
Practice Address - City:PORT ISABEL
Practice Address - State:TX
Practice Address - Zip Code:78578-4100
Practice Address - Country:US
Practice Address - Phone:956-943-1774
Practice Address - Fax:956-421-2787
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX439218364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health