Healthcare Provider Details

I. General information

NPI: 1982414926
Provider Name (Legal Business Name): JYP CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2025
Last Update Date: 01/20/2025
Certification Date: 01/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5758 FARNSWORTH DR
TALLAHASSEE FL
32312-4881
US

IV. Provider business mailing address

5758 FARNSWORTH DR
TALLAHASSEE FL
32312-4881
US

V. Phone/Fax

Practice location:
  • Phone: 850-766-7266
  • Fax:
Mailing address:
  • Phone: 850-766-7266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: YAWEN PING
Title or Position: OWNER
Credential: ARNP-C
Phone: 850-766-7266