Provider Demographics
NPI:1023561214
Name:ADAMS, AIMEE (FNP)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 S BARNES AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65802-2204
Mailing Address - Country:US
Mailing Address - Phone:417-864-3410
Mailing Address - Fax:417-864-3416
Practice Address - Street 1:215 S BARNES AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65802-2204
Practice Address - Country:US
Practice Address - Phone:417-864-3410
Practice Address - Fax:417-864-3410
Is Sole Proprietor?:No
Enumeration Date:2016-07-25
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130926363LP2300X
MO2015022598363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO420045996Medicaid
MO2015022598OtherFNP-BC
TXAP1300926OtherLICENSE NUMBER