Individual provider · Type 1 NPI
Marissa Camp
Family Nurse Practitioner · Kansas City, MO
NPI number
1104765098
Active
Practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Mailing address
1512 NW Whispering Ct
Grain Valley, MO 64029-8015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2026042448 (MO) |
| Registered Nurse | 163W00000X | 2017003019 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104765098
Marissa Camp's National Provider Identifier is 1104765098, issued on Mar 26, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kansas City, MO. The record was last updated on Oct 4, 2026.