Provider Demographics
NPI:1275042871
Name:ADAMS, ABBY K (FNP)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:K
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 1:115 E BYPASS 287
Mailing Address - Street 2:
Mailing Address - City:ALVORD
Mailing Address - State:TX
Mailing Address - Zip Code:76225-7778
Mailing Address - Country:US
Mailing Address - Phone:940-627-8982
Mailing Address - Fax:940-627-7464
Practice Address - Street 1:115 E BYPASS 287
Practice Address - Street 2:
Practice Address - City:ALVORD
Practice Address - State:TX
Practice Address - Zip Code:76225-7778
Practice Address - Country:US
Practice Address - Phone:940-427-2858
Practice Address - Fax:940-427-2857
Is Sole Proprietor?:No
Enumeration Date:2017-09-26
Last Update Date:2017-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX855470363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX855470OtherRN