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NPI Code Detail

MEDICARE: WENJING ADAMS CRNA, APRN

MEDICARE:   WENJING  ADAMS  CRNA, APRN
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
1367500000XCertified Registered Nurse Anesthetist002981CT
2367500000XCertified Registered Nurse AnesthetistARNP9314073FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00199184OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1020981OTHERCONNECTICARE
3400002981CT01OTHERBLUE CROSS BLUE SHIELD
42V6470OTHERHEALTHNET

General Provider Information

NPI Number : 1588665863
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENJING ADAMS CRNA, APRN
Provider Business Mailing Address
First Line : 11250 OLD SAINT AUGUSTINE RD
Second Line : UNIT 266
City : JACKSONVILLE
State : FL
Zip : 32257-1088
Country : US
Telephone Number : 813-382-0004
Fax Number :
Provider Business Practice Location Address
First Line : 11250 OLD SAINT AUGUSTINE RD
Second Line : UNIT 266
City : JACKSONVILLE
State : FL
Zip : 32257-1088
Country : US
Telephone Number : 813-382-0004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 08/21/2014

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Directions to “ WENJING ADAMS CRNA, APRN” Practice Location

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