MEDICARE: MRS. CASEY S. ADAMS CNM, ARNP

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	367A00000X	Advanced Practice Midwife	ARNP2562942	FL
2	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	2562942	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801897186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CASEY S. ADAMS CNM, ARNP

Provider Business Mailing Address
First Line	:	12123 AMBROSIA CT
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32223-3545
Country	:	US
Telephone Number	:	904-654-3427
Fax Number	:

Provider Business Practice Location Address
First Line	:	15255 MAX LEGGETT PKWY
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-7273
Country	:	US
Telephone Number	:	904-383-1000
Fax Number	:

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	05/15/2024

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