Provider Demographics
NPI:1275681413
Name:ADKINS, DEBRA SUE (RN)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:SUE
Last Name:ADKINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 W CROSS ST
Mailing Address - Street 2:
Mailing Address - City:OAK HILL
Mailing Address - State:OH
Mailing Address - Zip Code:45656-1008
Mailing Address - Country:US
Mailing Address - Phone:740-682-6427
Mailing Address - Fax:740-682-0627
Practice Address - Street 1:236 W CROSS ST
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:OH
Practice Address - Zip Code:45656-1008
Practice Address - Country:US
Practice Address - Phone:740-682-6427
Practice Address - Fax:740-682-0627
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN252160163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2321795Medicaid