Provider Demographics
NPI:1386971786
Name:ADAMS, JAMI ELLEN (LPN)
Entity type:Individual
Prefix:MRS
First Name:JAMI
Middle Name:ELLEN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 FIELDS LN
Mailing Address - Street 2:
Mailing Address - City:NORTH SALEM
Mailing Address - State:NY
Mailing Address - Zip Code:10560
Mailing Address - Country:US
Mailing Address - Phone:914-494-4996
Mailing Address - Fax:
Practice Address - Street 1:41 FIELDS LN
Practice Address - Street 2:
Practice Address - City:NORTH SALEM
Practice Address - State:NY
Practice Address - Zip Code:10560
Practice Address - Country:US
Practice Address - Phone:914-494-4996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY279828-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse