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NPI Code Detail

MEDICARE: JAMES CAMP PLLC

MEDICARE: JAMES CAMP PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1205542008
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES CAMP PLLC
Provider Business Mailing Address
First Line : 3336 ARAPAHOE RD UNIT B124
Second Line :
City : ERIE
State : CO
Zip : 80516-6013
Country : US
Telephone Number : 720-279-9682
Fax Number :
Provider Business Practice Location Address
First Line : 1400 MAIN ST STE 101
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-3046
Country : US
Telephone Number : 720-775-5051
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JAMES CAMP
Credential : PMHNP
Telephone Number : 619-993-4455
Provider Enumeration Date : 01/25/2023
Last Update Date : 02/25/2025

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