Adjuan Edgerson, RN
Individual provider Active NPI Registered Nurse · Lacombe, LA
NPI 1013661255 · NPPES record last updated Feb 7, 2022
Key facts
- NPI
- 1013661255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN106561 (LA)
- Practice address
- 469 Autumn Haven Cir
Lacombe, LA 70445-6259 - Phone
- (985) 377-9094
- NPI assigned
- Feb 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN106561 | LA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blended Roots Wellness and Consulting | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN106561 | LA | Yes |
Addresses
Primary practice location
469 Autumn Haven Cir
Lacombe, LA 70445-6259
Mailing address
469 Autumn Haven Cir
Lacombe, LA 70445-6259
Phone (985) 377-9094
Other providers in Lacombe, LA
- Crescent Imaging, LLC
- Arthur Evan Davies Jr.
- Dietze & Logan Spine Specialist, LLC
- Donald David Dietze Jr.
- Cori D. Dysart Gagnard
- Brigitte Emanuel
- Emergency Group of Covington LLC
- Lorenzo Boykin Fisher
- Alexander Fontenot
- Freedom Spine, LLC
All providers in Lacombe, LA · Registered Nurse in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.