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NPI Code Detail

MEDICARE: EMILEY ADAMS BSN, RN

MEDICARE: EMILEY ADAMS BSN, RN
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1578419446
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILEY ADAMS BSN, RN
Provider Business Mailing Address
First Line : 1060 FURIA DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28540-3317
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 317 WESTERN BLVD
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-6379
Country : US
Telephone Number : 910-577-2345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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