Individual
JOSIAH M MATTHEW YANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2105 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 796-3702
Mailing address
1005 AUBURN ST, OPELIKA, AL 36801-5701
(334) 796-3702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-146919
AL
363LF0000X
Family Nurse Practitioner
Primary
1-146919
AL
Other
Enumeration date
03/07/2019
Last updated
05/02/2019
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