MEDICARE: YOLANDA GREER

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	163W00000X	Registered Nurse	RN9405424	FL

General Provider Information

NPI Number	:	1619339249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOLANDA GREER

Provider Business Mailing Address
First Line	:	8745 LANCASHIRE DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32219-4322
Country	:	US
Telephone Number	:	859-213-2912
Fax Number	:

Provider Business Practice Location Address
First Line	:	8745 LANCASHIRE DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32219-4322
Country	:	US
Telephone Number	:	859-213-2912
Fax Number	:

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

Provider Enumeration Date	:	03/23/2016
Last Update Date	:	03/23/2016

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Directions to “ YOLANDA GREER ” Practice Location

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