# MR. JUSTIN D MCADOO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1689895245
- **Gender:** Man
- **Credential:** DNP, CRNA, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 141683 | TN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 12785 | TN | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 225137 | AR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 906011 | MS | — |
| 367500000X | Certified Registered Nurse Anesthetist | 12785 | TN | — |
| 367500000X | Certified Registered Nurse Anesthetist | 901353 | MS | — |
| 367500000X | Certified Registered Nurse Anesthetist | C003113 | AR | — |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 01/05/2025