Provider Demographics
NPI:1265225213
Name:CAMPBELL, SPENCER (PA-C)
Entity type:Individual
Prefix:
First Name:SPENCER
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9653 GULF SHORE DR APT 103
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-2087
Mailing Address - Country:US
Mailing Address - Phone:609-519-3674
Mailing Address - Fax:
Practice Address - Street 1:9653 GULF SHORE DR APT 103
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-2087
Practice Address - Country:US
Practice Address - Phone:609-519-3674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant