Provider Demographics
NPI:1982226395
Name:ADAMS, VIRGINIA ST MARTHA (APRN)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:ST MARTHA
Last Name:ADAMS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:ST MARTHA
Other - Last Name:FEEHERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:756 RIDGE LAKE BLVD
Mailing Address - Street 2:STE 228
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-9445
Mailing Address - Country:US
Mailing Address - Phone:901-522-6910
Mailing Address - Fax:901-522-6911
Practice Address - Street 1:756 RIDGE LAKE BLVD STE 228
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-9445
Practice Address - Country:US
Practice Address - Phone:901-522-6910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-08
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN27538363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily