MEDICARE: LINDSEY N YOKUM CNP

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	COA.15242-NP	OH
2	163W00000X	Registered Nurse	RN.329486	OH

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	:	1437583069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY N YOKUM CNP

Provider Business Mailing Address
First Line	:	9050 CENTRE POINTE DR
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-4874
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3929 HOOVER RD
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-2853
Country	:	US
Telephone Number	:	614-593-9334
Fax Number	:

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

Provider Enumeration Date	:	08/30/2013
Last Update Date	:	01/21/2015

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