Provider Demographics
NPI:1003326315
Name:ARNOLD, ADAM JEFFREY (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:JEFFREY
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1341 AUSTINS RD
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:VA
Mailing Address - Zip Code:24553-3624
Mailing Address - Country:US
Mailing Address - Phone:434-262-2782
Mailing Address - Fax:
Practice Address - Street 1:25892 N JAMES MADISON HWY
Practice Address - Street 2:
Practice Address - City:NEW CANTON
Practice Address - State:VA
Practice Address - Zip Code:23123-2234
Practice Address - Country:US
Practice Address - Phone:434-581-3271
Practice Address - Fax:434-581-1105
Is Sole Proprietor?:No
Enumeration Date:2017-10-02
Last Update Date:2017-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024175131363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily