Individual
JENNIFER M YEAMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3750 WOODWARD AVE, STE 200C, DETROIT, MI 48201-2007
(313) 993-4645
(313) 993-4654
Mailing address
1420 STEPHENSON HWY, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5970
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704256064
MI
367A00000X
Advanced Practice Midwife
R119035
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LN9768706102
CAREFIRST
MD
01
—
W6620164
CAREFIRST
DC
Enumeration date
04/01/2006
Last updated
11/08/2013
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