Provider Demographics
NPI:1316464266
Name:FEJKA CAMERON, DEVEN (FNP-C, PMHNP-C)
Entity type:Individual
Prefix:
First Name:DEVEN
Middle Name:
Last Name:FEJKA CAMERON
Suffix:
Gender:
Credentials:FNP-C, PMHNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 SHAWTOWN RD
Mailing Address - Street 2:
Mailing Address - City:PERKINSTON
Mailing Address - State:MS
Mailing Address - Zip Code:39573-4302
Mailing Address - Country:US
Mailing Address - Phone:601-916-0665
Mailing Address - Fax:
Practice Address - Street 1:862 BROWNSWITCH RD
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-5334
Practice Address - Country:US
Practice Address - Phone:985-788-1919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-22
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS902233363LP0808X, 363LF0000X
LAAP09742363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health