CHANTELLE B. ADABA MD, MS – NPI #1295226249
Military Health Care Provider

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

CHANTELLE ADABA is a military health care provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1295226249 to CHANTELLE ADABA on May 25, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name CHANTELLE BRIELLE YOUNG. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 171000000X from the Health Care Provider Taxonomy code set, which is classified as Military Health Care Provider.

The NPI profile was last updated on Jul 05, 2024. See the complete NPI profile for CHANTELLE ADABA below.

NPI Profile for
CHANTELLE B. ADABA

NPI Number
1295226249
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CHANTELLE B. ADABA
Former Name: CHANTELLE BRIELLE YOUNG
Credentials
MD, MS
Primary location
848 CANDLEBARK DR
JACKSONVILLE, FL 32225-5322
Phone: (404) 934-0077 Fax:
Mailing address
MAYPORT NAVAL BASE
JACKSONVILLE, FL 32228
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Jun 27, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
171000000X
- Military Health Care Provider (Primary)
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.