Ms. Yvonne Derickson
Nurse Practitioner - Family Medicine
105 Whitehall Dr Ste 115-116
St Augustine
, Florida 32086-5269
Ms. Yvonne Derickson
Nurse Practitioner - Family Medicine
105 Whitehall Dr Ste 115-116
St Augustine
, Florida 32086-5269
(904) 299-4116
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Ms. Yvonne Derickson
- Po Box 734905
- Dallas, TX
- Zip : 75373-4905
- Fax : (904) 299-4116
- Phone : (904) 800-7246
Second Address
- Ms. Yvonne Derickson
- 105 Whitehall Dr Ste 115-116
- St Augustine, FL
- Zip : 32086-5269
- Fax : (904) 299-4116
- Phone : (904) 800-7246
Reviews
FAQs
Where did Ms. Yvonne Derickson attend graduate school?
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Where did Ms. Yvonne Derickson do her fellowship?
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What type of doctor is Ms. Yvonne Derickson
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Is Ms. Yvonne Derickson a sole practitioner?
Is Ms. Yvonne Derickson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9228240 | FL |
National Provider Identifier
| NPI | 1003341280 |
|---|---|
| Provider Name | Ms. Yvonne Derickson |
| First Address | Dallas, TX 75373-4905 |
| Second Address | St Augustine, FL 32086-5269 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2017 |
| Last Update Date | 25/09/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.