MEDICARE: SARAH BATES CAMP PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	239792	LA

General Provider Information

NPI Number	:	1639984651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BATES CAMP PMHNP-BC

Provider Business Mailing Address
First Line	:	9579 PRAIRIE DUNES CT
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-6634
Country	:	US
Telephone Number	:	225-978-6978
Fax Number	:

Provider Business Practice Location Address
First Line	:	26087 JUBAN RD
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-6007
Country	:	US
Telephone Number	:	225-978-6978
Fax Number	:

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

Provider Enumeration Date	:	02/07/2025
Last Update Date	:	03/06/2026

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