Mcadoo, Justin
Mcadoo, Justin is an sole proprietor health care provider with primary practice located at 871 Ridgeway Loop Rd Ste 108 , Memphis TN 38120-4026. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Mcadoo, Justin can be contacted via phone (901) 871-0170.Contact Information
Primary practice address
871 Ridgeway Loop Rd Ste 108
Memphis TN 38120-4026
Phone: (901) 871-0170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | C003113 | Arkansas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 12785 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 12785 | Tennessee |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN141683 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | APN 12785 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 901353 | Mississippi |
| Nursing Service Providers / Registered Nurse | 163W00000X | 141683 | Tennessee |
Profile Details
| NPI number | 1689895245 |
|---|---|
| LBN Legal business name | Mcadoo, Justin |
| Credentials | DNP, CRNA, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2007 |
| Last updated | Apr 20th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689895245 | NPPES |
| Tennessee | Other | 1689895245 | RAILROAD MEDICARE |
| Tennessee | MEDICAID | 3600050 | RAILROAD MEDICARE |
| Tennessee | MEDICAID | 167862001 | RAILROAD MEDICARE |
| Tennessee | Other | 84525 | RAILROAD MEDICARE |
| Tennessee | Other | 4156663 | RAILROAD MEDICARE |
| Tennessee | MEDICAID | 08254702 | RAILROAD MEDICARE |
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