Jeffrey Scott Fouche-Camargo, DNP, APRN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

12.011343 Issued in CT

Practice address

113 Buckley Ave
Bristol, CT 06010-6703

Phone

(678) 863-0418

NPI assigned

Jul 26, 2018

Last updated

Oct 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jfouchecamargo4213987@direct.trinity-health.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1598242133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 BUCKLEY AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 BUCKLEY AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106703",
            "telephone_number": "678-863-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUCHE-CAMARGO",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CT",
            "license": "12.011343",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "APRN-NP116957",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayanna N Flores-Cruz
• Mary W Florio, LICENSED OPTICIAN
• Gina Catherine Folino
• Blake Forkey, DO
• Angela Fortune, PHARMD
• Edward Robert Fournier Jr., DMD
• Daniel Fox, PHARM D
• Samantha Anne Fraczek
• Ralph J. Frank Jr., R.PH., M.P.H.
• John Arthur Frazier, M.D.

• Women's Health Nurse Practitioner in Bristol, CT
• Providers in Bristol, CT by specialty
• Women's Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.