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Individual

D'LACIE M ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
7968 GOODWOOD BLVD, BATON ROUGE, LA 70806-7629
(225) 402-4215
Mailing address
6701 BAUM DR STE 140, KNOXVILLE, TN 37919-7361
(865) 584-5727
(865) 450-9904

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP09780
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP09780
APN LICENSE
TN
Enumeration date
06/12/2018
Last updated
06/12/2018
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