Provider Demographics
NPI:1073984571
Name:ADAMS-KING, JANICE (CRNP -- FNP-BC)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:ADAMS-KING
Suffix:
Gender:F
Credentials:CRNP -- FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:443-473-3598
Mailing Address - Fax:410-298-0304
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:443-473-3598
Practice Address - Fax:410-298-0304
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-10
Last Update Date:2015-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR114306363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily