Individual provider · NPI-1

Jason Adams

Military Health Care Provider, Independent Duty Corpsman · Camp Lejeune, NC

NPI number1740432178
StatusActive
Last updated in NPPESOct 16, 2008

Details

NPI
1740432178
Entity type
Individual (NPI-1)
Name
Jason Adams
Sex
Male
Sole proprietor
No
Enumeration date
Oct 16, 2008
Last updated
Oct 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1002X Military Health Care Provider, Independent Duty Corpsman––Yes

Practice location

Msoag Aid Station
Bldg 1211
Camp Lejeune, NC 28547

Phone 910-449-9965

Mailing address

Msoag Aid Station
Bldg 1211
Camp Lejeune, NC 28547

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