Individual
CARLA JEANETTE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24345 HIGHWAY 15, UNION, MS 39365-8575
(601) 774-8211
Mailing address
10110 ROAD 2640, PHILADELPHIA, MS 39350-7907
(601) 562-8353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905833
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2022
Last updated
03/30/2023
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