Healthcare Provider Details

I. General information

NPI: 1609374495
Provider Name (Legal Business Name): HAMILTON JOY YARBROUGH CNM, CPM, LM, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2018
Last Update Date: 01/12/2021
Certification Date: 01/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915B COURTNEY DR
HOMEWOOD AL
35209-4101
US

IV. Provider business mailing address

2216 HAWKSBURY LN
HOOVER AL
35226-1208
US

V. Phone/Fax

Practice location:
  • Phone: 334-444-5702
  • Fax: 205-719-4605
Mailing address:
  • Phone: 334-444-5702
  • Fax: 205-719-4605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM04735
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberLM0018
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: