Jaclyn Kamidoi
Nurse Practitioner
1201 Stone St Ste 5, Port Huron
Michigan, 48060-3563
810-966-9556
Jaclyn Kamidoi is a Port Huron, Michigan based nurse practitioner. Active license number of Jaclyn Kamidoi is 18073090341 in Michigan. Her current practice location is 1201 Stone St Ste 5, Port Huron. Patients can reach her at 810-966-9556 and her NPI number (Unique professional ID assigned by NPPES) is 1992202998.
Jaclyn Kamidoi has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jaclyn Kamidoi speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jaclyn Kamidoi |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Practice Address: | 1201 Stone St Ste 5, Port Huron,
Michigan, 48060-3563 |
| Phone: | 810-966-9556 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1992202998 |
| NPI Enumeration Date: | 07 Apr, 2018 |
| NPI Last Update On: | 07 Apr, 2018 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jaclyn Kamidoi are as mentioned below.
| License Number | Specialization | State | Status | |
| 18073090341 | | Michigan | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jaclyn Kamidoi such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1538153176 | Medicaid | Michigan | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jaclyn Kamidoi
4200 Old Forge Dr,
Fort Gratiot, Michigan |
| Zip: | 48059-4030 |
| Phone Number: | 586-292-2012 |
Patients can reach Jaclyn Kamidoi at
1201 Stone St Ste 5, Port Huron, Michigan or can
call to book an appointment on 810-966-9556.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.