Provider Demographics
NPI:1013225697
Name:LENNON, ADRIAN NICOLE (PSYCHIATRIC NP)
Entity Type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:NICOLE
Last Name:LENNON
Suffix:
Gender:F
Credentials:PSYCHIATRIC NP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6977 NEXUS CT STE 103
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-2651
Mailing Address - Country:US
Mailing Address - Phone:910-234-0208
Mailing Address - Fax:
Practice Address - Street 1:6977 NEXUS CT STE 103
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-2651
Practice Address - Country:US
Practice Address - Phone:910-672-6432
Practice Address - Fax:910-745-7907
Is Sole Proprietor?:No
Enumeration Date:2010-09-17
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC164951363LA2200X, 363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily