Provider Demographics
NPI:1043084155
Name:KEMPSON, JAMIRE CHANEL (RN)
Entity Type:Individual
Prefix:
First Name:JAMIRE
Middle Name:CHANEL
Last Name:KEMPSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 KINGS MALL CT STE 313
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-1574
Mailing Address - Country:US
Mailing Address - Phone:347-217-3805
Mailing Address - Fax:
Practice Address - Street 1:260 KINGS MALL CT
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-1574
Practice Address - Country:US
Practice Address - Phone:347-217-3805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY879061163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health