Individual provider · Type 1 NPI
Adam Jurdak
Psychiatric/Mental Health Nurse Practitioner · Charleston, SC
NPI number
1477056380
Active
Practice location
171 Ashley Ave
Charleston, SC 29425-8908
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 707672-1 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 27556 (SC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1477056380
Adam Jurdak's National Provider Identifier is 1477056380, issued on Mar 16, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Charleston, SC. The record was last updated on Aug 23, 2023.