Healthcare Provider Details

I. General information

NPI: 1235170267
Provider Name (Legal Business Name): DARRYL L ADAMS APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1372 MAIN ST
ALTAMONT TN
37301
US

IV. Provider business mailing address

400 VETERANS AVE
BILOXI MS
39531-2410
US

V. Phone/Fax

Practice location:
  • Phone: 931-692-3641
  • Fax: 931-692-3761
Mailing address:
  • Phone: 282-523-5000
  • Fax: 228-523-4676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR899582
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: