MEDICARE: YOLANDA ANTOINETTE EDWARDS APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	906552	MS

General Provider Information

NPI Number	:	1043077811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOLANDA ANTOINETTE EDWARDS APRN, FNP-C

Provider Business Mailing Address
First Line	:	6000 W HIGHWAY 98
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32512-0003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5501 MARVIN SHIELDS BLVD BLDG 472
Second Line	:
City	:	GULFPORT
State	:	MS
Zip	:	39501-9007
Country	:	US
Telephone Number	:	228-871-4033
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2024
Last Update Date	:	05/26/2026

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