Carey Elise Camp
Individual provider Active NPI Licensed Practical Nurse · Smithville, TN
NPI 1164091104 · NPPES record last updated Jun 23, 2021
Key facts
- NPI
- 1164091104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 82853 (TN)
- Practice address
- 254 Tiger Dr
Smithville, TN 37166-6812 - Phone
- (615) 597-7599
- NPI assigned
- Jun 23, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82853 | TN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 82853 | TN | Yes |
Addresses
Primary practice location
254 Tiger Dr
Smithville, TN 37166-6812
Mailing address
35 Kenway St
Cookeville, TN 38501-1062
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All providers in Smithville, TN · Licensed Practical Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.