Provider Demographics
NPI:1720792633
Name:ADKINS, CARLEE ROCHELLE (RN)
Entity type:Individual
Prefix:
First Name:CARLEE
Middle Name:ROCHELLE
Last Name:ADKINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:298 TRICORN RD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25053-7148
Mailing Address - Country:US
Mailing Address - Phone:304-369-1385
Mailing Address - Fax:
Practice Address - Street 1:642 PHILLIP KUHN RD
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:OH
Practice Address - Zip Code:45656-9645
Practice Address - Country:US
Practice Address - Phone:740-418-5549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV115096163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse