Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Raven Adams

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902434582

MS. Raven Adams is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone: (215) 456-7170
Fax: (215) 456-4923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1740 W Taylor St, Chicago, IL 60612-7232 — (866) 600-2273

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS024294 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902434582
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing address101 E Olney Ave Ste 400, Philadelphia, PA 19120-2470

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