Healthcare Provider Details

I. General information

NPI: 1730401878
Provider Name (Legal Business Name): HEATHER JONES ADAMS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2010
Last Update Date: 09/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 MAIN ST
CRAB ORCHARD KY
40419-9697
US

IV. Provider business mailing address

1031 WELLINGTON WAY STE 245
LEXINGTON KY
40513-1256
US

V. Phone/Fax

Practice location:
  • Phone: 606-355-7800
  • Fax:
Mailing address:
  • Phone: 859-303-8746
  • Fax: 859-303-8814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3006368
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: