MEDICARE: MS. TASHA NICOLE ADAMS PA-C

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	363A00000X	Physician Assistant	D0696	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	D0696	OTHER	TN	LICENSENUMBER

General Provider Information

NPI Number	:	1801095526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TASHA NICOLE ADAMS PA-C

Provider Business Mailing Address
First Line	:	333 MURFREESBORO PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37210-2877
Country	:	US
Telephone Number	:	615-248-1628
Fax Number	:	615-248-7797

Provider Business Practice Location Address
First Line	:	333 MURFREESBORO PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37210-2834
Country	:	US
Telephone Number	:	615-248-1628
Fax Number	:	615-788-2554

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

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	03/24/2021

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