Individual
JEANINE L YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1313 E OSBORN RD STE 150, PHOENIX, AZ 85014
(602) 264-4431
(602) 266-3870
Mailing address
77 E THOMAS RD STE 230, PHOENIX, AZ 85012-3100
(602) 557-0007
(602) 557-0001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60581592
WA
Other
Enumeration date
03/05/2013
Last updated
11/30/2018
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