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NPI Code Detail

MEDICARE: JENNIFER M YATES PA-C

MEDICARE:   JENNIFER M YATES  PA-C
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1427893890
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER M YATES PA-C
Provider Business Mailing Address
First Line : 100 KINGS HWY S
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-5504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1425 PORTLAND AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14621-3011
Country : US
Telephone Number : 585-922-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2024
Last Update Date : 01/21/2026

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Directions to “ JENNIFER M YATES PA-C” Practice Location

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