Provider Demographics
NPI:1255123543
Name:ADKINS, AMY DAWN
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:DAWN
Last Name:ADKINS
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 DURBIN DR
Mailing Address - Street 2:
Mailing Address - City:POND GAP
Mailing Address - State:WV
Mailing Address - Zip Code:25160-8021
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21 DURBIN DR
Practice Address - Street 2:
Practice Address - City:POND GAP
Practice Address - State:WV
Practice Address - Zip Code:25160-8021
Practice Address - Country:US
Practice Address - Phone:304-389-5549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide