NPI Code Details Logo

NPI 1235847328

NPI 1235847328 : JESSICA L ADAMS FNP-C : LEBANON, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1235847328
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JESSICA L ADAMS FNP-C
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/08/2022
-----------------------------------------------------
    Last Update Date     |    02/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    720 NORMAN DR 
-----------------------------------------------------
    City                 |    LEBANON
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    17042-7481
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    717-639-3230
-----------------------------------------------------
    Fax                  |    717-274-1659
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    500 UNIVERSITY DR. MC CA410
-----------------------------------------------------
    City                 |    HERSHEY
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    17033-0858
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    800-243-1455
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    163W00000X
-----------------------------------------------------
    Taxonomy Name        |    Registered Nurse
-----------------------------------------------------
    License Number       |    RN724304
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363L00000X
-----------------------------------------------------
    Taxonomy Name        |    Nurse Practitioner
-----------------------------------------------------
    License Number       |    SP026593
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    SP026593
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.