MEDICARE: MRS. SHARON YELLE APRN

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	3386252	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255730008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARON YELLE APRN

Provider Business Mailing Address
First Line	:	945 GLENWOOD RD
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32720-2376
Country	:	US
Telephone Number	:	386-804-6121
Fax Number	:

Provider Business Practice Location Address
First Line	:	1431 ORANGE CAMP RD STE 115
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32724-7770
Country	:	US
Telephone Number	:	386-202-1401
Fax Number	:	386-202-1402

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

Provider Enumeration Date	:	08/18/2014
Last Update Date	:	04/11/2024

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