Provider Demographics
NPI:1972346039
Name:CAMP, ASHLEY (PMHNP)
Entity type:Individual
Prefix:MR
First Name:ASHLEY
Middle Name:
Last Name:CAMP
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1951 FLORIDA AVE SW STE D&E
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-4947
Mailing Address - Country:US
Mailing Address - Phone:225-665-0473
Mailing Address - Fax:225-665-0283
Practice Address - Street 1:1951 FLORIDA AVE SW STE D&E
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-4947
Practice Address - Country:US
Practice Address - Phone:225-665-0473
Practice Address - Fax:225-665-0283
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA234119363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health