MR. JUSTIN D MCADOO DNP CRNA PMHNP-BC NPI 1689895245

NPI Information

  • NPI: 1689895245
  • Provider Name: MR. JUSTIN D MCADOO, DNP, CRNA, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6373 N QUAIL HOLLOW RD STE 101
    MEMPHIS, TN
    ZIP 38120
  • Phone: (901) 871-0170

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NPI Details

MR. Justin D Mcadoo, DNP, CRNA, PMHNP-BC is a psychiatric/mental health nurse practitioner in Memphis, TN. MR. Justin D Mcadoo, DNP, CRNA, PMHNP-BC NPI is 1689895245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6373 N QUAIL HOLLOW RD STE 101
MEMPHIS, TN
ZIP 38120-405
Phone: (901) 871-0170

The NPI 1689895245 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 1/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse141683TENNESSEENo
2363LP0808XNurse PractitionerPsychiatric/Mental Health225137ARKANSASNo
3363LP0808XNurse PractitionerPsychiatric/Mental Health906011MISSISSIPPINo
4367500000XNurse Anesthetist, Certified RegisteredC003113ARKANSASNo
5367500000XNurse Anesthetist, Certified Registered12785TENNESSEENo
6367500000XNurse Anesthetist, Certified Registered901353MISSISSIPPINo
7363LP0808XNurse PractitionerPsychiatric/Mental Health12785TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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