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General NPI Number Information
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NPI Number | 1043797970
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Entity Type | Individual
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Provider Name | JEREMY S ADKINS N.P.
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Gender | Male
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 2204 PAVILION DR STE 300
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City | KINGSPORT
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State | TN
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Zip | 37660-4653
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Country | US
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Telephone | 423-246-4155
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Fax | 423-246-7169
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Provider Business Mailing Address
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Address Line | 1021 W OAKLAND AVE STE 310
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2192
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Country | US
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Telephone | 423-952-2111
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 200830
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 12062377
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 24556
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License Number State | TN
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