Provider Demographics
NPI:1952066912
Name:ADKINS, NANCY DARLENE
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:DARLENE
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 1:3 MALL RD
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25504-1822
Mailing Address - Country:US
Mailing Address - Phone:304-736-2452
Mailing Address - Fax:304-736-8519
Practice Address - Street 1:3 MALL RD
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504-1822
Practice Address - Country:US
Practice Address - Phone:304-736-2452
Practice Address - Fax:304-736-8519
Is Sole Proprietor?:No
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV55491835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care