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Individual
JODI B YAVER
Active
Individual
JODI B YAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
200750037NP
OR
363LP0200X
Pediatric Nurse Practitioner
5004166
NC
363LW0102X
Women's Health Nurse Practitioner
200750038NP
OR
363LW0102X
Women's Health Nurse Practitioner
5004166
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096511
—
OR
05
—
22959
—
OR
Enumeration date
06/11/2007
Last updated
01/15/2019
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