| Doctor Name: | TRISSA JAYNE ADAMS |
| NPI Number: | 1598147258 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP |
| License Number: | 40 401854 |
| Business Practice Address: | 6 Healthy Way Ellenville, NY - 124285612 |
| Business Phone Number: | 8456474500 |
| Business Fax Number: | |
| Mailing Address: | 160 Sawdust Ave, KINGSTON |
| State: | NY |
| Postal Code: | 124018444 |
| Phone Number: | 8452402162 |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2015 |
| NPI Last Update Date: | 07/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 40 401854 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |