Healthcare Provider Details

I. General information

NPI: 1861821985
Provider Name (Legal Business Name): JASON CAMP ENGLAND ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2013
Last Update Date: 05/11/2023
Certification Date: 05/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8503 W CLEARWATER AVE STE B
KENNEWICK WA
99336-3100
US

IV. Provider business mailing address

1135 JADWIN AVE
RICHLAND WA
99352-3434
US

V. Phone/Fax

Practice location:
  • Phone: 509-851-0852
  • Fax:
Mailing address:
  • Phone: 509-942-3300
  • Fax: 509-946-1868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60169756
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60421874
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: