Provider Demographics
NPI:1477248599
Name:ADAMS, CHERYL K (RN)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:K
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 1:2877 COUNTY ROAD 31
Mailing Address - Street 2:
Mailing Address - City:NOTASULGA
Mailing Address - State:AL
Mailing Address - Zip Code:36866-3456
Mailing Address - Country:US
Mailing Address - Phone:334-707-2409
Mailing Address - Fax:
Practice Address - Street 1:2877 COUNTY ROAD 31
Practice Address - Street 2:
Practice Address - City:NOTASULGA
Practice Address - State:AL
Practice Address - Zip Code:36866-3456
Practice Address - Country:US
Practice Address - Phone:334-707-2409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-042720163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant