Individual
JAMIE S ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CORNER ROUTES N7 & N12, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
304 DONNA JEAN ST, GALLUP, NM 87301-5805
(505) 409-4051
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TEMP297438
AZ
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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