Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0200X | Nurse Practitioner - Pediatrics | 715547 | TX |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP116811 | TX |
NPI | 1033347786 |
---|---|
Provider Name | Jennifer Yeager |
First Address | Midland, TX 79707-5055 |
Second Address | Midland, TX 79707-5055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2009 |
Last Update Date | 22/01/2021 |