Provider Demographics
NPI:1891769469
Name:ADAMS, NIKKI LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:NIKKI
Middle Name:LEE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:LEE
Other - Last Name:TEEPLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5262 WOODS RD
Mailing Address - Street 2:P.O. BOX 800
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-3796
Mailing Address - Country:US
Mailing Address - Phone:410-221-2300
Mailing Address - Fax:410-221-2497
Practice Address - Street 1:5262 WOODS RD
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-3796
Practice Address - Country:US
Practice Address - Phone:410-221-2300
Practice Address - Fax:410-221-2497
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010577432084P0800X
MDD00549022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry