Individual provider · NPI-1
Grant Douglas Adams, CRNP
Nurse Practitioner, Pediatrics · Birmingham, AL
NPI number1346860905
StatusActive
Last updated in NPPESFeb 16, 2023
Details
- NPI
- 1346860905
- Entity type
- Individual (NPI-1)
- Name
- Grant Douglas Adams
- Credential
- CRNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 23, 2020
- Certification date
- Feb 16, 2023
- Last updated
- Feb 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 1-166728 | AL | Yes |
Practice location
1600 7th Ave SBirmingham, AL 35233-1711
Phone 205-638-9100
Mailing address
1600 7th Ave SBirmingham, AL 35233-1711
Phone 205-638-9100
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