# JORDAN M ADKINS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124424759
- **Gender:** F
- **Credential:** APRN-CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 75796 | WV | — |
| 363LF0000X | Family Nurse Practitioner | APRN75796 | WV | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 75796NP | WV | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN75796 | WV | Yes |

## Other

- **Enumeration date:** 11/10/2014
- **Last updated:** 05/14/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3810028745 | — | WV |