NPI | 1972140101 |
---|---|
Former Name | JOCELYN NICOLE YEAGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP144266) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 903404) |
Enumeration Date | 2019-12-06 |
Last Update Date | 2024-11-12 |