Provider Demographics
NPI:1427719699
Name:ADAMS, ERIC M (PMHNP)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:M
Last Name:ADAMS
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 VERNON PL
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41016-3401
Mailing Address - Country:US
Mailing Address - Phone:859-912-4696
Mailing Address - Fax:
Practice Address - Street 1:906 VERNON PL
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41016-3401
Practice Address - Country:US
Practice Address - Phone:859-912-4696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0030554363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health