Jaclyn Kamidoi
Nurse Practitioner • Port Huron, MI
Professional Overview & Biography Verified Profile Summary
Jaclyn Kamidoi is a registered healthcare professional specializing in Nurse Practitioner in Port Huron, MI. Practice services are available at 1201 STONE ST STE 5 under active NPI credentials.
Practice Location & Contact Primary Location
1201 Stone St Ste 5
Port Huron, MI 480603563
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner in Port Huron, MI
Practicing in Port Huron, MI (3626 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Adult Health
ANPBC
Internal Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 1201 STONE ST STE 5, PORT HURON, MI 480603563 (Tel: 8109669556)
Registered at 4200 OLD FORGE DR, FORT GRATIOT, MI 480594030 (Tel: 5862922012)
Recorded as JACLYN KAMIDOI
Nurse Practitioner (License #18073090341 in MI)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
4200 Old Forge Dr
Fort Gratiot, MI 480594030
Phone: 5862922012
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