Healthcare Provider Details

I. General information

NPI: 1316800121
Provider Name (Legal Business Name): JESSICA YEARWOOD MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7282 STINSON AVE STE C
GIG HARBOR WA
98335-4930
US

IV. Provider business mailing address

5228 N COURT ST
RUSTON WA
98407-3134
US

V. Phone/Fax

Practice location:
  • Phone: 253-785-8871
  • Fax: 253-368-0341
Mailing address:
  • Phone: 253-691-7722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSICA KATHERINE YEARWOOD
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 253-691-7722