Adams, Jackie J

Adams, Jackie J is an individual health care provider with primary practice located at 1990 Industrial Blvd , Houma LA 70363-7055. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Adams, Jackie J can be contacted via phone (985) 868-9300.

Contact Information

Primary practice address
1990 Industrial Blvd Houma LA 70363-7055
Phone: (985) 868-9300
Fax: (985) 851-0053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP01152 Louisiana

Profile Details

NPI number 1184664013
LBN Legal business name Adams, Jackie J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Feb 11th, 2008 - about 16 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 1184664013 NPPES
Louisiana MEDICAID 1993239

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