Camp, Nicole Jane

Camp, Nicole Jane is an individual health care provider with primary practice located at 601 Professional Drive , Lawrenceville GA 30046. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Camp, Nicole Jane can be contacted via phone (678) 393-6348.

Contact Information

Primary practice address
601 Professional Drive Lawrenceville GA 30046
Phone: (678) 393-6348
Fax: (678) 541-6763
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X RN217901 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN 217901 Georgia
Nursing Service Providers / Registered Nurse 163W00000X RN217901 Georgia

Profile Details

NPI number 1477910941
LBN Legal business name Camp, Nicole Jane
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2016
Last updated Sep 30th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477910941 NPPES
Georgia Other RN 217901 NURSING LICENSE

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