Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 1-143547 | AL |
NPI | 1043711427 |
---|---|
Provider Name | James Yearty |
First Address | Helena, AL 35022-4204 |
Second Address | Birmingham, AL 35233-1932 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2018 |
Last Update Date | 22/02/2018 |