| Doctor Name: | JENNIFER YEAGER |
| NPI Number: | 1033347786 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN CP NP |
| License Number: | 715547 |
| Business Practice Address: | 5801 W Wadley Ave Midland, TX - 797075055 |
| Business Phone Number: | 4326992636 |
| Business Fax Number: | 4326994134 |
| Mailing Address: | 5801 W Wadley Ave, MIDLAND |
| State: | TX |
| Postal Code: | 797075055 |
| Phone Number: | 4326992636 |
| Fax Number: | 4326994134 |
| NPI Enumeration Date: | 07/01/2009 |
| NPI Last Update Date: | 07/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 715547 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |