Individual provider · NPI-1

Carolyn Dorothy Adams, LCSW, RN, FNP

Nurse Practitioner, Family · Springfield, MO

NPI number1225108558
StatusActive
Last updated in NPPESAug 29, 2018

Details

NPI
1225108558
Entity type
Individual (NPI-1)
Name
Mrs. Carolyn Dorothy Adams
Credential
LCSW, RN, FNP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 8, 2006
Last updated
Aug 29, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family2018024090MOYes
163W00000X Registered Nurse201022760MO
101YM0800X Counselor, Mental HealthSW006050MO

Practice location

3801 S National Ave
Springfield, MO 65807

Phone 417-269-6000

Mailing address

3801 S National Ave
Springfield, MO 65807-5210

Phone 417-269-6000

Other practice locations

235 W Commercial St
Lebanon, MO 65536-3145

Phone 417-532-6359 · Fax 417-532-0835

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