Adams, Jody D

Adams, Jody D is an individual health care provider with primary practice located at 1118 S Farmerville St , Ruston LA 71270-5914. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Adams, Jody D can be contacted via phone (318) 232-7119.

Contact Information

Primary practice address
1118 S Farmerville St Ruston LA 71270-5914
Phone: (318) 232-7119
Fax: (318) 232-1092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP03708 Louisiana

Profile Details

NPI number 1467580886
LBN Legal business name Adams, Jody D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Mar 4th, 2015 - about 9 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 1467580886 NPPES
Louisiana MEDICAID 1433098

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