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NPI Code Detail

MEDICARE: CRYSTAL J YOKLEY FNP

MEDICARE: CRYSTAL J YOKLEY 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
1363LF0000XFamily Nurse Practitioner14415TN
2163WG0000XGeneral Practice Registered Nurse14415TN
3363LF0000XFamily Nurse PractitionerCNP201161ME

Other Identifiers

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

General Provider Information

NPI Number : 1316274632
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL J YOKLEY FNP
Provider Business Mailing Address
First Line : 650 NASHVILLE PIKE STE 7D
Second Line :
City : GALLATIN
State : TN
Zip : 37066-3194
Country : US
Telephone Number : 615-989-7980
Fax Number : 615-622-8643
Provider Business Practice Location Address
First Line : 650 NASHVILLE PIKE STE 7D
Second Line :
City : GALLATIN
State : TN
Zip : 37066-3194
Country : US
Telephone Number : 615-989-7980
Fax Number : 615-622-8643
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2009
Last Update Date : 09/07/2023

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