MEDICARE: JAMIE ADAMS NP

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	163W00000X	Registered Nurse	13-63305-082	KS
2	163W00000X	Registered Nurse	146298	MO

General Provider Information

NPI Number	:	1457735185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE ADAMS NP

Provider Business Mailing Address
First Line	:	924 MANORCREST DR
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66101-1139
Country	:	US
Telephone Number	:	913-333-8377
Fax Number	:

Provider Business Practice Location Address
First Line	:	924 MANORCREST DR
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66101-1139
Country	:	US
Telephone Number	:	913-333-8377
Fax Number	:

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

Provider Enumeration Date	:	07/13/2015
Last Update Date	:	07/13/2015

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