Provider Demographics
NPI:1831257765
Name:ADAMS, KIMBERLEE RENE'E (CRNP, PMHNP)
Entity type:Individual
Prefix:MS
First Name:KIMBERLEE
Middle Name:RENE'E
Last Name:ADAMS
Suffix:
Gender:F
Credentials:CRNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 FELLOWSHIP RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-1234
Mailing Address - Country:US
Mailing Address - Phone:856-204-4886
Mailing Address - Fax:215-639-1434
Practice Address - Street 1:DONE
Practice Address - Street 2:200 CONTINENTAL DRIVE SUITE 401
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4334
Practice Address - Country:US
Practice Address - Phone:415-735-5804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ000932002084B0040X, 363LP0808X
DEL8-00105772084B0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry