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Jaclyn Kamidoi
Nurse Practitioner in Port Huron, Michigan
NPI 1992202998

Jaclyn Kamidoi is a Nurse Practitioner based in Fort Gratiot, MI. Jaclyn Kamidoi practices in Port Huron, MI. The NPI Number for Jaclyn Kamidoi is 1992202998 and holds a License No. 18073090341 (Michigan).

The current practice location address for Jaclyn Kamidoi is 1201 Stone St Ste 5, Port Huron, MI and can be reached out via phone at 810-966-9556.

Location: 1201 Stone St Ste 5, Port Huron, MI, 48059-4030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992202998
Provider Name
Jaclyn Kamidoi
Credential
Provider Entity Type
Individual
Gender
Female
Address
1201 Stone St Ste 5, Port Huron, MI, 48059-4030
Phone Number
810-966-9556
Fax Number
Provider Enumeration Date
04/07/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1538153176 05 MI
institution
Provider Business Practice Location Address Details
Address
1201 Stone St Ste 5
City
Port Huron
State
Michigan
Zip
48060-3563
Phone Number
810-966-9556
Fax Number
person
Provider Business Mailing Address Details
Address
1201 Stone St Ste 5
City
Port Huron
State
Michigan
Zip
48060-3563
Phone Number
810-966-9556
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
18073090341 (Michigan)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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