Provider Demographics
NPI:1346656808
Name:ADAMS, YUSUFF A (LPN)
Entity type:Individual
Prefix:MR
First Name:YUSUFF
Middle Name:A
Last Name:ADAMS
Suffix:
Gender:
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 BALLYSHANNON DR
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-6513
Mailing Address - Country:US
Mailing Address - Phone:470-424-0025
Mailing Address - Fax:
Practice Address - Street 1:250 BALLYSHANNON DR
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-6513
Practice Address - Country:US
Practice Address - Phone:470-424-0025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-05
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP07138400164W00000X
GAPHCP011175251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No164W00000XNursing Service ProvidersLicensed Practical Nurse