Provider Demographics
NPI:1639984651
Name:CAMP, SARAH BATES (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:BATES
Last Name:CAMP
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9579 PRAIRIE DUNES CT
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-6634
Mailing Address - Country:US
Mailing Address - Phone:225-978-6978
Mailing Address - Fax:
Practice Address - Street 1:26087 JUBAN RD
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-6007
Practice Address - Country:US
Practice Address - Phone:225-978-6978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA239792363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health