MEDICARE: MRS. JAYME LYN YOCOM APRN-CNP, ACNPC-AG

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	363L00000X	Nurse Practitioner	824933	NV

General Provider Information

NPI Number	:	1578903639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAYME LYN YOCOM APRN-CNP, ACNPC-AG

Provider Business Mailing Address
First Line	:	3901 SPICEWOOD SPRINGS RD # 201
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-8723
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1950 BARING BLVD
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89434
Country	:	US
Telephone Number	:	775-626-2224
Fax Number	:

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

Provider Enumeration Date	:	07/02/2013
Last Update Date	:	11/14/2019

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