Provider Demographics
NPI:1174163356
Name:ADAMS, ERIKA NICHOLE (FNP-C)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:NICHOLE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30339 N RIVER RD
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97869
Mailing Address - Country:US
Mailing Address - Phone:360-319-8426
Mailing Address - Fax:
Practice Address - Street 1:180 FORD RD.
Practice Address - Street 2:
Practice Address - City:JOHN DAY
Practice Address - State:OR
Practice Address - Zip Code:97845
Practice Address - Country:US
Practice Address - Phone:541-575-0404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-15
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202000441NP-PP363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care