| Doctor Name: | MRS. JOANN MARIE ADAMS |
| NPI Number: | 1073762308 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, APRN-BC |
| License Number: | 151656 |
| Business Practice Address: | 916 Talon Dr Suite 102 O Fallon, IL - 622691848 |
| Business Phone Number: | 6186288211 |
| Business Fax Number: | 6186280883 |
| Mailing Address: | 916 Talon Dr, O FALLON |
| State: | IL |
| Postal Code: | 622691848 |
| Phone Number: | 6186288211 |
| Fax Number: | 6186280883 |
| NPI Enumeration Date: | 09/10/2008 |
| NPI Last Update Date: | 01/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 151656 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |