Individual
JAIMEE MICHELLE KAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1815 E IRELAND RD, SOUTH BEND, IN 46614-2845
(574) 647-1700
(574) 647-7572
Mailing address
3245 HEALTH DRIVE, SUITE 100, GRANGER, IN 46530-3245
(574) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28139876A
IN
363L00000X
Nurse Practitioner
71005385A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005385A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201282240
—
IN
Enumeration date
02/11/2015
Last updated
05/01/2023
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