Provider Demographics
NPI:1861205692
Name:ADAMS, DAPHNE LYNN (RN)
Entity type:Individual
Prefix:
First Name:DAPHNE
Middle Name:LYNN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3849 WALNUT DR
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-4882
Mailing Address - Country:US
Mailing Address - Phone:678-656-8007
Mailing Address - Fax:
Practice Address - Street 1:1010 HUNTCLIFF STE 1240
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-1898
Practice Address - Country:US
Practice Address - Phone:678-656-8007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN169387163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health