Provider Demographics
NPI:1245305465
Name:CAMPER, YOLANDA SWILLIE (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:SWILLIE
Last Name:CAMPER
Suffix:
Gender:F
Credentials:APRN, FNP-C
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Mailing Address - Street 1:130 DESIARD ST
Mailing Address - Street 2:SUITE 355
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-7319
Mailing Address - Country:US
Mailing Address - Phone:318-807-7875
Mailing Address - Fax:318-812-6603
Practice Address - Street 1:1140 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71209-0001
Practice Address - Country:US
Practice Address - Phone:318-342-1651
Practice Address - Fax:318-342-3280
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2019-06-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAAP04289363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1591653Medicaid
LA1591653Medicaid