Provider Demographics
NPI:1942777271
Name:ADAMS, ALBANY JAYNE (FNP-C)
Entity Type:Individual
Prefix:
First Name:ALBANY
Middle Name:JAYNE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ALBANY
Other - Middle Name:JAYNE
Other - Last Name:HAWKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 BRISTOL CT
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762-5159
Mailing Address - Country:US
Mailing Address - Phone:432-934-4352
Mailing Address - Fax:
Practice Address - Street 1:4222 WENDOVER AVE STE 600
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-5983
Practice Address - Country:US
Practice Address - Phone:432-552-5656
Practice Address - Fax:844-278-3305
Is Sole Proprietor?:No
Enumeration Date:2018-10-24
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139408363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily