Individual
PEGGIE G ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
19611 SR 20 WEST, BLOUNTSTOWN, FL 32424
(850) 674-5645
(850) 674-5420
Mailing address
19611 SR 20 WEST, BLOUNTSTOWN, FL 32424
(850) 674-5645
(850) 674-5420
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5155475
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN5155475
LPN
FL
Enumeration date
06/27/2006
Last updated
07/08/2007
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