Provider Demographics
NPI:1285216317
Name:CAMP, HILLARY
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:CAMP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17416 BROOKSIDE TRACE CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-6200
Mailing Address - Country:US
Mailing Address - Phone:813-844-4554
Mailing Address - Fax:813-660-6632
Practice Address - Street 1:17416 BROOKSIDE TRACE CT
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-6200
Practice Address - Country:US
Practice Address - Phone:813-844-4554
Practice Address - Fax:813-660-6632
Is Sole Proprietor?:No
Enumeration Date:2021-04-27
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11013378363LG0600X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner