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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225108558 NPPES
Missouri MEDICAID 493970412

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