Peggie G Adams, LPN
Individual provider Active NPI Licensed Practical Nurse · Blountstown, FL
NPI 1629005178 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629005178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN5155475 (FL)
- Practice address
- 19611 Sr 20 West
Blountstown, FL 32424 - Phone
- (850) 674-5645
- Fax
- (850) 674-5420
- NPI assigned
- Jun 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN5155475 | FL | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN5155475 | FL | Yes |
Addresses
Primary practice location
19611 Sr 20 West
Blountstown, FL 32424
Mailing address
19611 Sr 20 West
Blountstown, FL 32424
Phone (850) 674-5645
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PN5155475 | Other | FL | LPN |
Other providers in Blountstown, FL
- Timothy Adamcryk
- Jodi Kristin Alford
- Julie Marie Alford
- Shani D Ashcroft
- Carson Baggett
- Jared Shelby Barber
All providers in Blountstown, FL · Licensed Practical Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.