Individual
JENNY ELYSE CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4199 GATEWAY BLVD, NEWBURGH, IN 47630-0001
(812) 842-4200
Mailing address
4199 GATEWAY BLVD, NEWBURGH, IN 47630
(812) 842-4200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD2015-0035
NM
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
01082540A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300028022
—
IN
Enumeration date
03/26/2012
Last updated
08/01/2019
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