IndividualActive
Adam Jurdak
NPI 1477056380 · Psychiatric/Mental Health Nurse Practitioner · Charleston, SC
Provider details
- NPI number
- 1477056380
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 707672-1 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
171 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 792-6200
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 751461
Charlotte, NC 28275-1461
Registry dates
- Enumerated
- 2018-03-16
- Last updated
- 2023-08-23
- Certified
- 2023-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.