Individual
MR. JEFFREY BRYAN YARBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1302 N PACIFIC ST, MINEOLA, TX 75773-1022
(903) 569-5383
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP129106
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353937101
—
TX
05
—
353937102
—
TX
01
—
75-0818167-022
TRICARE
TX
01
—
75-2616977-001
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
75-2616977-043
TRICARE
TX
01
—
8251NS
BCBS
TX
01
—
8469NV
BCBS
TX
01
—
P01569234
RAIL ROAD MEDICARE
TX
01
—
P01636584
RAIL ROAD MEDICARE
TX
Enumeration date
09/24/2015
Last updated
03/13/2024
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