Provider Demographics
NPI:1619202082
Name:ADAMS, KAREN LYNNE (CRNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNNE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 MIDDLE ST STE B
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-1766
Mailing Address - Country:US
Mailing Address - Phone:251-928-1191
Mailing Address - Fax:251-928-4529
Practice Address - Street 1:770 MIDDLE ST STE B
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-1766
Practice Address - Country:US
Practice Address - Phone:251-928-1191
Practice Address - Fax:251-928-4529
Is Sole Proprietor?:No
Enumeration Date:2009-10-02
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-067531363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily