Individual
JENNIFER YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-3737
Mailing address
427 EL VISTA DR, HANOVER, PA 17331-8469
(717) 630-8669
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R153525
MD
363L00000X
Nurse Practitioner
Primary
R153525
MD
Other
Enumeration date
03/18/2024
Last updated
07/23/2024
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