Individual
CALEB YEARGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 W BARAGA AVE, MARQUETTE, MI 49855-4550
(906) 449-3000
Mailing address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21363
TN
363LA2200X
Adult Health Nurse Practitioner
4704366480
MI
363LF0000X
Family Nurse Practitioner
21363
TN
Other
Enumeration date
07/01/2016
Last updated
02/25/2021
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