Individual
JACQUELYN KAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2980 SQUALICUM PKWY, SUITE 301, BELLINGHAM, WA 98225-1880
(360) 788-6112
(360) 788-6114
Mailing address
1115 SE 164TH AVE, DEPT 358, VANCOUVER, WA 98683-9324
(360) 729-1253
(360) 729-3185
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60648426
WA
Other
Enumeration date
02/10/2017
Last updated
04/12/2017
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