| Organization Name: | YREKA FAMILY PRACTICE NURSING CORPORATION |
| NPI Number: | 1013276724 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA JO YAWN (OWNER) |
| Mailing Address: | 544 N Main St Suite 3 Yreka |
| State: | CA US |
| Postal Code: | 960972553 |
| Phone Number: | 5308421100 |
| Fax Number: | 5308421117 |
| NPI Enumeration Date: | 05/15/2012 |
| NPI Last Update Date: | 11/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |