Doctor Name: | JEANINE L YATES |
NPI Number: | 1275874927 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN00117047 |
Business Practice Address: | 2525 Ne 139th St Suite 140 Vancouver, WA - 986862719 |
Business Phone Number: | 3608822778 |
Business Fax Number: | 3606041697 |
Mailing Address: | Po Box 873010, VANCOUVER |
State: | WA |
Postal Code: | 986873010 |
Phone Number: | 3608822778 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2013 |
NPI Last Update Date: | 07/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | RN00117047 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |