Individual
JAZMINE GABRIELLE YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 S MAYO TRL STE 201, PIKEVILLE, KY 41501-2321
(606) 432-0123
(606) 433-1414
Mailing address
PO BOX 3339, PIKEVILLE, KY 41502-3339
(606) 432-0123
(606) 433-1414
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3011840
KY
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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