DEVIN JUSTIN CAMPBELL
NPI 1164313227
Licensed Practical Nurse in Cambria Heights, NY
- Individual
- Male
- Licensed Practical Nurse
About DEVIN CAMPBELL
This page provides the complete NPI Profile along with additional information for Devin Campbell, a provider established in Cambria Heights, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1164313227 assigned on July 2025. The practitioner's primary taxonomy code is 164W00000X with license number 352790 (NY). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1164313227 Verify this NPI
- Provider Name
- DEVIN JUSTIN CAMPBELL
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 22120 114TH AVE CAMBRIA HEIGHTS, NY 11411
- Location Phone
- (347) 551-6496
- Mailing Address
- 22120 114TH AVE CAMBRIA HEIGHTS, NY 11411
- Mailing Phone
- (347) 551-6496
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-15-2025
- Last Update Date
- 07-15-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 352790
- License State
- NY
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164313227, enumerated as an "individual" on July 15, 2025.
The provider is located at 22120 114TH AVE CAMBRIA HEIGHTS, NY 11411 and the phone number is (347) 551-6496.
Licensed Practical Nurse with taxonomy code 164W00000X.