Jill Lavonne Adams, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Chesterton, IN
NPI 1497863831 · NPPES record last updated Mar 17, 2015
Key facts
- NPI
- 1497863831
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 71001844A (IN)
- Practice address
- 1100 South Calumet Rd.
Suite 2
Chesterton, IN 46304 - Phone
- (219) 395-9500
- Fax
- (219) 983-9511
- NPI assigned
- Aug 27, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71001844A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71001844A | IN | Yes |
Addresses
Primary practice location
1100 South Calumet Rd.
Suite 2
Chesterton, IN 46304
Mailing address
1100 South Calumet Rd.
Suite 2
Chesterton, IN 46304
Phone (219) 395-9500
Other providers in Chesterton, IN
- Hassan Abu-Hashish
- Accelerated Rehabilitation Centers LTD
- Adair Associates, Inc.
- Adams County Memorial Hospital
- Douglas Scott Adams
- Joseph W Adams Jr.
- Lily Adney
- Hanna Agemy
- Amarnath Badriprasad Agrawal
- Aguayo Therapeutic Services LLC
All providers in Chesterton, IN · Psychiatric/Mental Health Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2015. 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.