Healthcare Provider Details

I. General information

NPI: 1215327382
Provider Name (Legal Business Name): JAIME YATES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2015
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

383 JUNE ST
FALL RIVER MA
02720-3544
US

IV. Provider business mailing address

383 JUNE ST
FALL RIVER MA
02720-3544
US

V. Phone/Fax

Practice location:
  • Phone: 508-837-3951
  • Fax: 508-738-4054
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2371639
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: