# JILL K. YASTISHAK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033526900
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 22 672826 | NY | — |
| 163W00000X | Registered Nurse | 95054780 | CA | — |
| 363LP0200X | Pediatric Nurse Practitioner | 95002359 | CA | — |
| 363LP0200X | Pediatric Nurse Practitioner | NP95002359 | CA | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | RN1057546 | DC | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | 22 672826 | NY | — |

## Other

- **Enumeration date:** 07/12/2014
- **Last updated:** 07/28/2026