Healthcare Provider Details

I. General information

NPI: 1558560425
Provider Name (Legal Business Name): YASMEEN J M ADAMS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YASMEEN J MCPHERSON CRNP

II. Dates (important events)

Enumeration Date: 07/12/2007
Last Update Date: 08/05/2022
Certification Date: 08/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 RIVERSIDE CIR
ROANOKE VA
24016-4955
US

IV. Provider business mailing address

213 S JEFFERSON ST STE 1006
ROANOKE VA
24011-1713
US

V. Phone/Fax

Practice location:
  • Phone: 540-526-1550
  • Fax: 540-526-1383
Mailing address:
  • Phone: 540-224-5715
  • Fax: 540-224-5684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0024169037
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: