MEDICARE: TARA FAITH ADAMS FNP

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
1	208D00000X	General Practice Physician	0024194677	VA
2	208D00000X	General Practice Physician	123586	WV

General Provider Information

NPI Number	:	1295602688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA FAITH ADAMS FNP

Provider Business Mailing Address
First Line	:	212 TANK HOLLOW RD
Second Line	:
City	:	BLUEFIELD
State	:	WV
Zip	:	24701-8972
Country	:	US
Telephone Number	:	276-979-5390
Fax Number	:

Provider Business Practice Location Address
First Line	:	128 CAPITOL ST
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25301-2610
Country	:	US
Telephone Number	:	276-979-5390
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2025
Last Update Date	:	02/05/2026

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