Individual
JONATHAN S YELLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1701 OAK PARK BLVD., LAKE CHARLES, LA 70601
(337) 494-3000
Mailing address
7415 CLYDESDALE DR, IOWA, LA 70647-4432
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09755
LA
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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