Individual
MRS. ADRIA NICOLE ADCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
156 SEVILLE WAY, MADISON, MS 39110-8170
(901) 246-8485
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
905554
MS
Other
Enumeration date
02/02/2023
Last updated
11/22/2024
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