MEDICARE: JANICE YORK APRN-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0000012150	TN

General Provider Information

NPI Number	:	1679644769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE YORK APRN-BC

Provider Business Mailing Address
First Line	:	10427 HIGHWAY 52 W
Second Line	:
City	:	WESTMORELAND
State	:	TN
Zip	:	37186-3234
Country	:	US
Telephone Number	:	615-644-2000
Fax Number	:	615-644-2078

Provider Business Practice Location Address
First Line	:	10427 HIGHWAY 52 W
Second Line	:
City	:	WESTMORELAND
State	:	TN
Zip	:	37186-3234
Country	:	US
Telephone Number	:	615-644-2000
Fax Number	:	615-644-2078

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	07/07/2017

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Directions to “ JANICE YORK APRN-BC” Practice Location

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