Individual
TRISSA JAYNE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
6 HEALTHY WAY, ELLENVILLE, NY 12428-5612
(845) 647-4500
Mailing address
160 SAWDUST AVE, KINGSTON, NY 12401-8444
(845) 240-2162
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
40 401854
NY
Other
Enumeration date
06/18/2015
Last updated
07/13/2015
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