Individual
MRS. CAROLYN DOROTHY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, RN, FNP
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807
(417) 269-6000
Mailing address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-6000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW006050
MO
163W00000X
Registered Nurse
201022760
MO
363LF0000X
Family Nurse Practitioner
Primary
2018024090
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493970412
—
MO
Enumeration date
11/08/2006
Last updated
08/29/2018
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