Individual provider · NPI-1

Jared Lee Adams, PA

Physician Assistant · Fresno, CA

NPI number1962537852
StatusActive
Last updated in NPPESFeb 4, 2022

Details

NPI
1962537852
Entity type
Individual (NPI-1)
Name
Jared Lee Adams
Credential
PA
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 22, 2007
Last updated
Feb 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA17972CAYes

Practice location

6121 N Thesta St
Ste. 114
Fresno, CA 93710-8603

Phone 559-439-7633

Mailing address

6121 N Thesta St
Ste. 114
Fresno, CA 93710-8603

Phone 559-439-7633

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