Provider Demographics
NPI:1164005757
Name:ADKINS, FELICIA RENEE (FNP-C, RN)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:RENEE
Last Name:ADKINS
Suffix:
Gender:F
Credentials:FNP-C, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:330 SPANISH MOSS LN
Mailing Address - Street 2:
Mailing Address - City:ADEL
Mailing Address - State:GA
Mailing Address - Zip Code:31620-3648
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:209 W HUDSON ST
Practice Address - Street 2:
Practice Address - City:OCILLA
Practice Address - State:GA
Practice Address - Zip Code:31774-1235
Practice Address - Country:US
Practice Address - Phone:770-715-3554
Practice Address - Fax:678-328-3122
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-30
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN207401163W00000X, 363L00000X, 363LP2300X
GARN297401163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner