Provider Demographics
NPI:1760018816
Name:ADKINS, DANIELLE CHERIE ZIMMERMAN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:CHERIE ZIMMERMAN
Last Name:ADKINS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:17624 RIVER FORD DR
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-8841
Mailing Address - Country:US
Mailing Address - Phone:704-792-7937
Mailing Address - Fax:
Practice Address - Street 1:3250 WILKINSON BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-5665
Practice Address - Country:US
Practice Address - Phone:704-319-5176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-20
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-12318363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant