Provider Demographics
NPI:1013316736
Name:ADAMS, TAMARA GRACE (NP)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:GRACE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-6005
Mailing Address - Country:US
Mailing Address - Phone:513-603-8200
Mailing Address - Fax:513-981-4226
Practice Address - Street 1:610 HIGH ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-6005
Practice Address - Country:US
Practice Address - Phone:513-603-8200
Practice Address - Fax:513-981-4226
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.15872-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health