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NPI Code Detail

MEDICARE: ESI F YEBOAH APRN, PMHNP-BC, FNP

MEDICARE: ESI F YEBOAH APRN, PMHNP-BC, FNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner0024181551VA
2363LF0000XFamily Nurse PractitionerRN279407GA
3363LF0000XFamily Nurse Practitioner0024181551VA

General Provider Information

NPI Number : 1114533346
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESI F YEBOAH APRN, PMHNP-BC, FNP
Provider Business Mailing Address
First Line : 7051 HEATHCOTE VILLAGE WAY STE 115
Second Line :
City : GAINESVILLE
State : VA
Zip : 20155-3197
Country : US
Telephone Number : 804-207-6737
Fax Number :
Provider Business Practice Location Address
First Line : 7051 HEATHCOTE VILLAGE WAY STE 115
Second Line :
City : GAINESVILLE
State : VA
Zip : 20155-3197
Country : US
Telephone Number : 804-207-6737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2020
Last Update Date : 06/05/2026

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