Provider Demographics
NPI:1467622894
Name:ADAMS, JOCELYN KAREN (RN)
Entity Type:Individual
Prefix:MS
First Name:JOCELYN
Middle Name:KAREN
Last Name:ADAMS
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 1:617 EATON DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202-7897
Mailing Address - Country:US
Mailing Address - Phone:216-299-2807
Mailing Address - Fax:330-995-4703
Practice Address - Street 1:617 EATON DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:OH
Practice Address - Zip Code:44202-7897
Practice Address - Country:US
Practice Address - Phone:216-299-2807
Practice Address - Fax:330-995-4703
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH237711163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2486788Medicare PIN