Individual
MS. JODY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
342 E 109TH AVE, CROWN POINT, IN 46307-8693
(219) 924-8178
Mailing address
1001 CALUMET AVE, DYER, IN 46311-1596
(219) 924-8178
(219) 924-8179
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000524A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000727149
ANTHEM
IN
05
—
200326670
—
IN
Enumeration date
03/07/2006
Last updated
07/07/2025
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