Provider Demographics
NPI:1811591803
Name:ADKINS, BRANDI JANE
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:JANE
Last Name:ADKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:589 MIDWAY RD
Mailing Address - Street 2:
Mailing Address - City:ALUM CREEK
Mailing Address - State:WV
Mailing Address - Zip Code:25003-9577
Mailing Address - Country:US
Mailing Address - Phone:304-744-1112
Mailing Address - Fax:
Practice Address - Street 1:307 SHETLAND DR
Practice Address - Street 2:
Practice Address - City:SCOTT DEPOT
Practice Address - State:WV
Practice Address - Zip Code:25560-9403
Practice Address - Country:US
Practice Address - Phone:304-744-1112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator