Healthcare Provider Details

I. General information

NPI: 1841036985
Provider Name (Legal Business Name): CHLOE DINA ADAMS FNP-BC, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2024
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 WAYNE MEMORIAL DR STE I
GOLDSBORO NC
27534-1749
US

IV. Provider business mailing address

2400 WAYNE MEMORIAL DR STE I
GOLDSBORO NC
27534-1749
US

V. Phone/Fax

Practice location:
  • Phone: 919-587-3980
  • Fax: 919-587-3981
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5020314
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number996
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: