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Individual

TRACEY DOUGLAS ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
1220 LEE ST E STE 208, CHARLESTON, WV 25301-1864
(304) 388-7270
Mailing address
400 ASSOCIATION DR STE 102, CHARLESTON, WV 25311-1298

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
106510
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1821929886
WV
Enumeration date
05/28/2026
Last updated
07/30/2026
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