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NPI Code Detail

MEDICARE: JACQUELINE CAROL YINGER CPNP

MEDICARE: JACQUELINE CAROL YINGER CPNP
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
1363LP0200XPediatric Nurse PractitionerRN102601 NP03086OH
2363LP0200XPediatric Nurse PractitionerCOA03086OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316933112
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE CAROL YINGER CPNP
Provider Business Mailing Address
First Line : 555 S 18TH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2696
Country : US
Telephone Number : 614-722-4554
Fax Number : 614-722-4565
Provider Business Practice Location Address
First Line : 555 S 18TH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2696
Country : US
Telephone Number : 614-722-4554
Fax Number : 614-722-4565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 10/05/2012

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