Individual
JENNIFER YEAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
212 N WILSON ST, CRESTVIEW, FL 32536-3438
(850) 306-3003
Mailing address
212 N WILSON ST, CRESTVIEW, FL 32536-3438
(850) 306-3003
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5190704
FL
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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