Healthcare Provider Details

I. General information

NPI: 1023561214
Provider Name (Legal Business Name): AIMEE ADAMS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2016
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 S BARNES AVE
SPRINGFIELD MO
65802-2204
US

IV. Provider business mailing address

215 S BARNES AVE
SPRINGFIELD MO
65802-2204
US

V. Phone/Fax

Practice location:
  • Phone: 417-864-3410
  • Fax: 417-864-3410
Mailing address:
  • Phone: 417-864-3410
  • Fax: 417-864-3416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP130926
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number2015022598
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: