Individual
JEFFREY TYLER YEATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
800 WHEELING AVE, GLEN DALE, WV 26038-1697
(304) 845-3211
Mailing address
4501 CENTRAL AVE, SHADYSIDE, OH 43947-1279
(304) 551-6906
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
522089
OH
363LF0000X
Family Nurse Practitioner
Primary
106193
WV
Other
Enumeration date
07/24/2025
Last updated
09/11/2025
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