Provider Demographics
NPI:1730075524
Name:ADAMS, CHELSEA (LPN)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:CHESTICAL
Other - Middle Name:
Other - Last Name:PETITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4105 W MAIN ST APT M
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4544
Mailing Address - Country:US
Mailing Address - Phone:865-396-4893
Mailing Address - Fax:
Practice Address - Street 1:4105 W MAIN ST APT M
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-4544
Practice Address - Country:US
Practice Address - Phone:865-396-4893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN102471164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse