MEDICARE: DEJA DENISE ADAMS CRNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R238085	MD

General Provider Information

NPI Number	:	1699654145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEJA DENISE ADAMS CRNP

Provider Business Mailing Address
First Line	:	1005 N POINT BLVD STE 707
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21224-3402
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 BETHESDA METRO CTR STE 744
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-6418
Country	:	US
Telephone Number	:	260-450-8397
Fax Number	:

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

Provider Enumeration Date	:	08/28/2025
Last Update Date	:	01/22/2026

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