Adams, Crystal J
Adams, Crystal J is an individual health care provider with primary practice located at 4901 E Johnson Ave , Jonesboro AR 72401-8417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Adams, Crystal J can be contacted via phone (870) 932-8222.Contact Information
Primary practice address
4901 E Johnson Ave
Jonesboro AR 72401-8417
Phone: (870) 932-8222
Fax: (870) 934-3455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A003957 | Arkansas |
Profile Details
| NPI number | 1649604141 |
|---|---|
| LBN Legal business name | Adams, Crystal J |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2013 |
| Last updated | Apr 4th, 2016 - about 8 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 | 1649604141 | NPPES |
| Arkansas | MEDICAID | 198817758 |
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