Individual
JACQUELINE YOARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6335 HOSPITAL PKWY, SUITE 304, JOHNS CREEK, GA 30097-1549
(404) 778-8317
Mailing address
4020 BROOKS BRIDGE XING, ALPHARETTA, GA 30022-4917
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
ARNP9235120
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN256769
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0038303 00
—
FL
01
—
G00SR
BCBS
FL
01
—
P01045892
RAILROAD MEDICARE
—
01
—
XXX-XX-7185
CHAMPUS / TRICARE (SOUTH REGION)
—
Enumeration date
06/18/2011
Last updated
03/28/2019
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