Provider Demographics
NPI:1205542008
Name:JAMES CAMP PLLC
Entity type:Organization
Organization Name:JAMES CAMP PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMP
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:619-993-4455
Mailing Address - Street 1:3336 ARAPAHOE RD UNIT B124
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-6013
Mailing Address - Country:US
Mailing Address - Phone:720-279-9682
Mailing Address - Fax:
Practice Address - Street 1:1400 MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-3046
Practice Address - Country:US
Practice Address - Phone:720-775-5051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty