Adams, Carolyn Dorothy
Adams, Carolyn Dorothy is an individual health care provider with primary practice located at 3801 S National Ave , Springfield MO 65807. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Behavioral Health & Social Service Providers / Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Adams, Carolyn Dorothy can be contacted via phone (417) 269-6000.Contact Information
Primary practice address
3801 S National Ave
Springfield MO 65807
Phone: (417) 269-6000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 201022760 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2018024090 | Missouri |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | SW006050 | Missouri |
Profile Details
NPI number | 1225108558 |
---|---|
LBN Legal business name | Adams, Carolyn Dorothy |
Credentials | LCSW, RN, FNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 8th, 2006 |
Last updated | Aug 29th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225108558 | NPPES |
Missouri | MEDICAID | 493970412 |
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