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 |