Provider Demographics
NPI:1962706192
Name:KEMP, JAIME (ARNP)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:
Last Name:KEMP
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9120 LONG TAIL LN
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52003-9752
Mailing Address - Country:US
Mailing Address - Phone:563-590-8966
Mailing Address - Fax:563-235-1948
Practice Address - Street 1:109 ADAMS ST SE STE 2
Practice Address - Street 2:
Practice Address - City:CASCADE
Practice Address - State:IA
Practice Address - Zip Code:52033-7703
Practice Address - Country:US
Practice Address - Phone:563-235-2101
Practice Address - Fax:563-235-1948
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-03
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA099512364SF0001X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health