Provider Demographics
NPI:1750058376
Name:ADAMS, ASHLEY MCCLAIN (APNP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MCCLAIN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 E PINES RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-1040
Mailing Address - Country:US
Mailing Address - Phone:770-324-0750
Mailing Address - Fax:
Practice Address - Street 1:108 E PINES RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-1040
Practice Address - Country:US
Practice Address - Phone:770-324-0750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-23
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAF05210063363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily