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NPI Code Detail

MEDICARE: REBECCA ADAMS ARNP

MEDICARE: REBECCA ADAMS ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse PractitionerARNP3138612FL
2363LF0000XFamily Nurse PractitionerAPRN3138612FL

General Provider Information

NPI Number : 1063882264
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ADAMS ARNP
Provider Business Mailing Address
First Line : 2675 WINKLER AVE FL 2
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9342
Country : US
Telephone Number : 877-856-3774
Fax Number :
Provider Business Practice Location Address
First Line : 705 FERRIS ST
Second Line :
City : GREEN COVE SPRINGS
State : FL
Zip : 32043-4025
Country : US
Telephone Number : 904-284-4510
Fax Number : 904-284-3293
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2015
Last Update Date : 01/03/2024

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