Individual
TIMOTHY EDMUND YEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
504 CLINTON CENTER DR STE 4300, CLINTON, MS 39056-5610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
287774
MA
207R00000X
Internal Medicine Physician
BP10056896
TX
207RN0300X
Nephrology Physician
Primary
29783
MS
Other
Enumeration date
05/11/2016
Last updated
03/03/2022
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