| Doctor Name: | CHARLOTTE LEAH ADAMS |
| NPI Number: | 1174764385 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN-BC, MSN |
| License Number: | 5075P |
| Business Practice Address: | 331 S 3rd St Bardstown, KY - 400041032 |
| Business Phone Number: | 5023489206 |
| Business Fax Number: | 5023486485 |
| Mailing Address: | 331 S 3rd St, BARDSTOWN |
| State: | KY |
| Postal Code: | 400041032 |
| Phone Number: | 5023489206 |
| Fax Number: | 5023486485 |
| NPI Enumeration Date: | 03/18/2009 |
| NPI Last Update Date: | 04/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 5075P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |