Provider Demographics
NPI:1174332043
Name:ADE HEALTHCARE LLC
Entity type:Organization
Organization Name:ADE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADULT PSYCHIATRIC NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:ADEKEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEDIPE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, PMHNP-BC
Authorized Official - Phone:951-231-0270
Mailing Address - Street 1:4601 WHITE FORGE DR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95212-2760
Mailing Address - Country:US
Mailing Address - Phone:951-231-0270
Mailing Address - Fax:209-340-3918
Practice Address - Street 1:4601 WHITE FORGE DR
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95212-2760
Practice Address - Country:US
Practice Address - Phone:951-231-0270
Practice Address - Fax:209-340-3918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-04
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty