Doctor Name: | JAMES YATES |
NPI Number: | 1578942066 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APRN |
License Number: | A004230 |
Business Practice Address: | 8060 Counts Massie Rd Maumelle, AR - 721136657 |
Business Phone Number: | 5017910198 |
Business Fax Number: | |
Mailing Address: | 1204 Davis St, CONWAY |
State: | AR |
Postal Code: | 720343917 |
Phone Number: | 5733561566 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2015 |
NPI Last Update Date: | 05/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | A004230 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |