Individual
CRYSTAL ANN YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
325 N STATE OF FRANKLIN RD FL 1, JOHNSON CITY, TN 37604-6056
(423) 439-7272
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29641
TN
363LF0000X
Family Nurse Practitioner
30011218
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q070577
—
TN
Enumeration date
06/18/2017
Last updated
01/31/2024
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