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General NPI Number Information
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NPI Number | 1316800121
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Entity Type | Organization
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Legal Business Name | JESSICA YEARWOOD MD PLLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 7282 STINSON AVE STE C
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City | GIG HARBOR
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State | WA
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Zip | 98335-4930
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Country | US
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Telephone | 253-785-8871
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Fax | 253-368-0341
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Provider Business Mailing Address
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Address Line | 5228 N COURT ST
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City | RUSTON
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State | WA
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Zip | 98407-3134
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Country | US
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Telephone | 253-691-7722
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. JESSICA KATHERINE YEARWOOD
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Credential | MD
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Telephone | 253-691-7722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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