Provider Demographics
NPI:1053899534
Name:CAMPBELL, NELEA DOTSON (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:NELEA
Middle Name:DOTSON
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 W SEVIER AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-3764
Mailing Address - Country:US
Mailing Address - Phone:423-224-3110
Mailing Address - Fax:
Practice Address - Street 1:2335 KNOB CREEK RD STE 100
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-2002
Practice Address - Country:US
Practice Address - Phone:423-430-9942
Practice Address - Fax:423-212-8700
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN200724163W00000X
TN25036363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse