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NPI Code Detail

MEDICARE: NATHAN KENT ADAMS PA-C

MEDICARE: NATHAN KENT ADAMS PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant006082GA
2363A00000XPhysician AssistantPA9105996FL

General Provider Information

NPI Number : 1396037370
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN KENT ADAMS PA-C
Provider Business Mailing Address
First Line : 201 VILLAGE OAKS DR
Second Line :
City : SAINT JOHNS
State : FL
Zip : 32259-3876
Country : US
Telephone Number : 904-240-0442
Fax Number : 904-240-0471
Provider Business Practice Location Address
First Line : 201 VILLAGE OAKS DR
Second Line :
City : SAINT JOHNS
State : FL
Zip : 32259-3876
Country : US
Telephone Number : 904-240-0442
Fax Number : 904-240-0471
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2011
Last Update Date : 03/26/2025

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Directions to “ NATHAN KENT ADAMS PA-C” Practice Location

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