Provider Demographics
NPI:1992160568
Name:IT'S ALL ABOUT ME LLC
Entity type:Organization
Organization Name:IT'S ALL ABOUT ME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS-KING
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:410-298-0304
Mailing Address - Street 1:7897 GALLOPING CIR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-1253
Mailing Address - Country:US
Mailing Address - Phone:410-298-0304
Mailing Address - Fax:
Practice Address - Street 1:7897 GALLOPING CIR
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-1253
Practice Address - Country:US
Practice Address - Phone:410-298-0304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR11306363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty