Doctor Name: | JANICE YORK |
NPI Number: | 1679644769 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-BC |
License Number: | 0000012150 |
Business Practice Address: | 12124 Highway 52 W Suite 5 Westmoreland, TN - 371865062 |
Business Phone Number: | 6156442000 |
Business Fax Number: | 6156442078 |
Mailing Address: | 12124 Highway 52 W, Suite 5 WESTMORELAND |
State: | TN |
Postal Code: | 371865062 |
Phone Number: | 6156442000 |
Fax Number: | 6156442078 |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 04/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0000012150 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |