Individual
ADAM COLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMH-NP
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(800) 284-8288
Mailing address
1200 N WEST AVE, JACKSON, MI 49202-2179
(800) 284-8288
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
4704343729
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022059050
MI
Other
Enumeration date
08/26/2019
Last updated
02/07/2023
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