| NPI | 1093244840 | 
|---|---|
| Former Name | JAMIE D VANCAMP | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7805) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 7805) | 
| 163W00000X Registered Nurse (Licence: WI 201714) | |
| Enumeration Date | 2017-06-06 | 
| Last Update Date | 2023-12-20 |