Healthcare Provider Details

I. General information

NPI: 1386231470
Provider Name (Legal Business Name): MARGUERITTE ADAMS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/23/2020
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 FLEMINGSBURG RD
MOREHEAD KY
40351-1015
US

IV. Provider business mailing address

245 FLEMINGSBURG RD
MOREHEAD KY
40351-1015
US

V. Phone/Fax

Practice location:
  • Phone: 606-780-5500
  • Fax: 606-780-2373
Mailing address:
  • Phone: 606-780-5500
  • Fax: 660-780-2373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3015277
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: