Provider Demographics
NPI:1801152095
Name:KAMP, JAMI K (MSN, RN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:JAMI
Middle Name:K
Last Name:KAMP
Suffix:
Gender:F
Credentials:MSN, RN, FNP-BC
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Mailing Address - Street 1:1855 S. MAIN STREET
Mailing Address - Street 2:SUITE A, HEART & VASCULAR CENTER
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46526-4723
Mailing Address - Country:US
Mailing Address - Phone:574-533-7476
Mailing Address - Fax:574-533-7145
Practice Address - Street 1:1855 S. MAIN STREET
Practice Address - Street 2:SUITE A, HEART & VASCULAR CENTER
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-4723
Practice Address - Country:US
Practice Address - Phone:574-533-7476
Practice Address - Fax:574-533-7145
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN28160780A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201100890Medicaid
IN201100890Medicaid