MEDICARE: JOLANDA PRICE-YANCY

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	363LP2300X	Primary Care Nurse Practitioner	4704330405	MI

General Provider Information

NPI Number	:	1760349336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOLANDA PRICE-YANCY

Provider Business Mailing Address
First Line	:	5811 JEFFERSON COMMONS WAY APT 104
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49009-6090
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5811 JEFFERSON COMMONS WAY APT 104
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49009-6090
Country	:	US
Telephone Number	:	586-804-1087
Fax Number	:

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

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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Directions to “ JOLANDA PRICE-YANCY ” Practice Location

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