MEDICARE: JENNIFER LYNN ADAMS CNP

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	363LF0000X	Family Nurse Practitioner	88899	OK

General Provider Information

NPI Number	:	1366914434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LYNN ADAMS CNP

Provider Business Mailing Address
First Line	:	350 S 40TH ST
Second Line	:
City	:	MUSKOGEE
State	:	OK
Zip	:	74401-4915
Country	:	US
Telephone Number	:	918-683-0753
Fax Number	:	918-683-5677

Provider Business Practice Location Address
First Line	:	14755 NORTH FWY STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-6508
Country	:	US
Telephone Number	:	281-876-2500
Fax Number	:

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

Provider Enumeration Date	:	12/29/2018
Last Update Date	:	02/26/2025

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