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Individual

JENNIFER YARBROUGH YATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
731 LEIGHTON AVE STE 201, ANNISTON, AL 36207-5762
(256) 235-5972
Mailing address
2871 COUNTY ROAD 1, WEDOWEE, AL 36278-6272

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
000000000000
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000000000
AL
Enumeration date
06/03/2019
Last updated
06/20/2019
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