Provider Demographics
NPI:1851820997
Name:KEMPER, JAMIKA (RN)
Entity type:Individual
Prefix:
First Name:JAMIKA
Middle Name:
Last Name:KEMPER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5960 HOWDERSHELL RD STE 104
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-4102
Mailing Address - Country:US
Mailing Address - Phone:314-477-2469
Mailing Address - Fax:636-800-2495
Practice Address - Street 1:5960 HOWDERSHELL RD STE 104
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-4102
Practice Address - Country:US
Practice Address - Phone:314-477-2469
Practice Address - Fax:636-800-2495
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-11
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041419846163W00000X
MO2011003666163WL0100X, 163W00000X
253Z00000X
MO374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No253Z00000XAgenciesIn Home Supportive Care
No374J00000XNursing Service Related ProvidersDoula