Provider Demographics
NPI:1023561214
Name:ADAMS, AIMEE (FNP)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10426
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78460-0426
Mailing Address - Country:US
Mailing Address - Phone:361-387-9233
Mailing Address - Fax:361-387-8992
Practice Address - Street 1:1210 GREGORY ST STE 2
Practice Address - Street 2:
Practice Address - City:TAFT
Practice Address - State:TX
Practice Address - Zip Code:78390-3045
Practice Address - Country:US
Practice Address - Phone:361-528-2595
Practice Address - Fax:361-528-3452
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-25
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130926363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP1300926OtherLICENSE NUMBER