Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 25105 | WV |
N | 207VG0400X | Gynecologist | 43253 | KY |
NPI | 1144300773 |
---|---|
Provider Name | Dr. Jennie Lee Yoost |
First Address | Huntington, WV 25701-3656 |
Second Address | Huntington, WV 25701-3655 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 01/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
50028892 | PASSPORT PCP & PAD # FOR FOUNDATION LOCATION (01) | KY |
50028893 | PASSPORT SPECIALIST & PASSPORT ADVANTAGE#-FOUNDATION LOCATION (01) | KY |
50028894 | PASSPORT SPECIALIST & PAD - PSC LOCATION (01) | KY |
50034507 | PASSPORT & PP ADVTG - WS (01) | KY |
7100118390 | (05) | KY |
K027670 | MEDICARE PTAN # - KCPAG (01) | KY |