Provider Demographics
NPI:1780132381
Name:CHAMBERS, KAMALA (FNP)
Entity type:Individual
Prefix:
First Name:KAMALA
Middle Name:
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1076 E. CHESTNUT STREET
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-5843
Mailing Address - Country:US
Mailing Address - Phone:856-216-0300
Mailing Address - Fax:856-216-7142
Practice Address - Street 1:1076 E. CHESTNUT STREET
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-5843
Practice Address - Country:US
Practice Address - Phone:856-216-0300
Practice Address - Fax:856-216-7142
Is Sole Proprietor?:No
Enumeration Date:2016-09-13
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00636000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily