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SHANA KAY VENESA CAMPBELL
NPI 1508530197
Nurse Practitioner - Family in Bronx, NY

Active since August 06, 2021
3055 WILSON AVE PH, BRONX, NY 10469(347) 882-3069 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shana Kay Venesa Campbell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANA KAY VENESA CAMPBELL (NPI 1508530197) is an individual family provider in Bronx, New York, licensed in New York (F342481) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1508530197
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANA KAY VENESA CAMPBELL
Location Address3055 WILSON AVE PHBronx, NY 10469-5104
Mailing Address3055 Wilson Ave PhBronx, NY 10469-5104 · (347) 882-3069
Phone(347) 882-3069
Sole ProprietorNo
Enumeration DateAugust 6, 2021
NPPES CertifiedAugust 6, 2021
✔ NPI 1508530197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F342481
3055 WILSON AVE PH, Bronx, NY 10469
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Other Names 1

Former Name (1)Shana Kay Witter

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shana Kay Campbell's NPI number?

The NPI number for Shana Kay Campbell is 1508530197. It was assigned to this individual provider in the NPPES registry on August 6, 2021.

Where is Shana Kay Campbell located?

Shana Kay Campbell practices at 3055 Wilson Ave Ph, Bronx, NY 10469. The listed phone number is (347) 882-3069.

What is Shana Kay Campbell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shana Kay Campbell was last updated on August 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.