MEDICARE: HILLARY CAMP

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
1	363LG0600X	Gerontology Nurse Practitioner	APRN11013378	FL
2	363L00000X	Nurse Practitioner	APRN11013378	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285216317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILLARY CAMP

Provider Business Mailing Address
First Line	:	17416 BROOKSIDE TRACE CT
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-6200
Country	:	US
Telephone Number	:	813-844-4554
Fax Number	:	813-660-6632

Provider Business Practice Location Address
First Line	:	17416 BROOKSIDE TRACE CT
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-6200
Country	:	US
Telephone Number	:	813-844-4554
Fax Number	:	813-660-6632

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2021
Last Update Date	:	05/14/2025

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Directions to “ HILLARY CAMP ” Practice Location

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