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Jacob Randall Adkins, FNP

Nurse Practitioner, Family in Augusta, GA. Individual provider (NPI-1).

NPI number1508330739
StatusActive
Last updated in NPPESFeb 7, 2019

Details

NPI
1508330739
Entity type
Individual (NPI-1)
Name
Jacob Randall Adkins
Credential
FNP
Sex
Male
Sole proprietor
No
Enumeration date
Jan 22, 2019
Last updated
Feb 7, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyRN215084GAYes

Practice location

1120 15th St
Augusta, GA 30912-3907

Phone 706-723-4200

Mailing address

553 Country Place Ln
Evans, GA 30809-3907

Phone 706-825-6150

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