Provider Demographics
NPI:1881129187
Name:ADAMS, NAKISHA (CNP)
Entity type:Individual
Prefix:
First Name:NAKISHA
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27900 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-3539
Mailing Address - Country:US
Mailing Address - Phone:216-731-7110
Mailing Address - Fax:216-731-7130
Practice Address - Street 1:27900 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-3539
Practice Address - Country:US
Practice Address - Phone:216-731-7110
Practice Address - Fax:216-731-7130
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-24
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.020494363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health