MEDICARE: JANET K ADAMS N.P.

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	363L00000X	Nurse Practitioner	4704206210	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4704206210	OTHER	MI	LISENCE

General Provider Information

NPI Number	:	1689607970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET K ADAMS N.P.

Provider Business Mailing Address
First Line	:	9045 US HIGHWAY 31
Second Line	:
City	:	BERRIEN SPRINGS
State	:	MI
Zip	:	49103-1804
Country	:	US
Telephone Number	:	269-473-2222
Fax Number	:	269-473-6880

Provider Business Practice Location Address
First Line	:	9045 US HIGHWAY 31
Second Line	:
City	:	BERRIEN SPRINGS
State	:	MI
Zip	:	49103-1633
Country	:	US
Telephone Number	:	269-473-2222
Fax Number	:	269-473-6880

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

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	03/07/2023

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Directions to “ JANET K ADAMS N.P.” Practice Location

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