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Individual

LILLY DEONNA ADKISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
12701 PADGETT SWITCH RD, IRVINGTON, AL 36544-4011
(251) 824-2174
Mailing address
12701 PADGETT SWITCH RD, IRVINGTON, AL 36544-4011
(251) 824-2174

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3-001003
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3-001003
ALABAMA LICENSE
AL
05
319337
AL
01
513-09019
BCBS
AL
Enumeration date
08/10/2022
Last updated
02/05/2025
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