MEDICARE: SHERRITA YANKAWAY

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	20445	TN

General Provider Information

NPI Number	:	1346619764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRITA YANKAWAY

Provider Business Mailing Address
First Line	:	7126 BROOK MILL CV
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-4193
Country	:	US
Telephone Number	:	901-624-3515
Fax Number	:

Provider Business Practice Location Address
First Line	:	7126 BROOK MILL CV
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-4193
Country	:	US
Telephone Number	:	901-624-3515
Fax Number	:

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

Provider Enumeration Date	:	09/15/2015
Last Update Date	:	09/15/2015

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Directions to “ SHERRITA YANKAWAY ” Practice Location

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