Healthcare Provider Details

I. General information

NPI: 1962706192
Provider Name (Legal Business Name): JAIME KEMP ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2011
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 ADAMS ST SE STE 2
CASCADE IA
52033-7703
US

IV. Provider business mailing address

9120 LONG TAIL LN
DUBUQUE IA
52003-9752
US

V. Phone/Fax

Practice location:
  • Phone: 563-235-2101
  • Fax: 563-235-1948
Mailing address:
  • Phone: 563-590-8966
  • Fax: 563-235-1948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA099512
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberA099512
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: