Individual provider · Type 1 NPI
Jaclyn Kamidoi
Nurse Practitioner · Port Huron, MI
Practice location
1201 Stone St Ste 5
Port Huron, MI 48060-3563
Mailing address
4200 Old Forge Dr
Fort Gratiot, MI 48059-4030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 18073090341 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Another provider at this address
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About NPI 1992202998
Jaclyn Kamidoi's National Provider Identifier is 1992202998, issued on Apr 7, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Port Huron, MI. The record was last updated on Apr 7, 2018.