Healthcare Provider Details

I. General information

NPI: 1215845037
Provider Name (Legal Business Name): JENNIFER LYNN ADAMS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 N BREIEL BLVD
MIDDLETOWN OH
45042-3868
US

IV. Provider business mailing address

3665 SWARTZEL RD
FARMERSVILLE OH
45325-9248
US

V. Phone/Fax

Practice location:
  • Phone: 513-424-1856
  • Fax:
Mailing address:
  • Phone: 513-266-5242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0043233
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: