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NPI Code Detail

MEDICARE: JENNIFER YEPEZ RN

MEDICARE: JENNIFER YEPEZ RN
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
1163W00000XRegistered Nurse661930NY

General Provider Information

NPI Number : 1760315865
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER YEPEZ RN
Provider Business Mailing Address
First Line : 1133 WESTCHESTER AVE STE N-230
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10604-3522
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1133 WESTCHESTER AVE STE N-230
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10604-3522
Country : US
Telephone Number : 347-370-2740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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