Individual
JESSICA DAWN YACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,FNP, PMHNP
Contact information
Practice address
257 MADISON AVE SW SUITE 209, CORVALLIS, OR 97333-4757
(614) 420-5093
(971) 233-6398
Mailing address
257 SW MADISON AVE STE 209, CORVALLIS, OR 97333-4757
(971) 368-1045
(971) 233-6398
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10043053
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10043053
OR
Other
Enumeration date
06/16/2014
Last updated
04/29/2026
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