Individual
RAEANA LOUISE YAWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2440
Mailing address
3246 HIGHWAY 15, NEWTON, MS 39345-9694
(601) 490-1202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
857650
MS
Other
Enumeration date
02/03/2018
Last updated
02/03/2018
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