Provider Demographics
NPI:1205415064
Name:MCADAMS, TASHILA (APRN)
Entity type:Individual
Prefix:
First Name:TASHILA
Middle Name:
Last Name:MCADAMS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 S FLIPPO CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT PLAINS
Mailing Address - State:AR
Mailing Address - Zip Code:72568-9762
Mailing Address - Country:US
Mailing Address - Phone:870-799-4516
Mailing Address - Fax:
Practice Address - Street 1:410 N APPLE ST
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-4111
Practice Address - Country:US
Practice Address - Phone:501-305-3650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR213191363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care