Johnna Kaye Yealy in Memphis - Physician Assistant
Johnna Kaye Yealy - NPI 1871604488
Johnna Kaye Yealy is a Physician Assistant in Memphis, Tennessee. Johnna Kaye Yealy practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Johnna Kaye Yealy is 1871604488. The last update date is 2015-01-30.
Johnna Kaye Yealy's current location address is 930 Madison Ave, Memphis, Tennessee. You can contact this provider via phone number 9018668834 and fax number 9013022834. The mailing address for Johnna Kaye Yealy is 930 Madison Ave, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnna Kaye Yealy |
|---|---|
| Address | 930 Madison Ave, Memphis, Tennessee |
| Phone Number | 9018668834 |
| Fax Number | 9013022834 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1871604488 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2015-01-30 |
Provider Mailing Address Detail
| Address | 930 Madison Ave |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381033410 |
| Phone Number | 9018668834 |
| Fax Number | 9013022834 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | TC 015 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA1377 | TN | TN STATE LICENSE |
Post Comment/ Review Below
What is the Johnna Kaye Yealy's 1871604488?
The Johnna Kaye Yealy's NPI (National Provider Identifier) Number is 1871604488. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Johnna Kaye Yealy's facilities are geographically located?
The facilities of Johnna Kaye Yealy are physically situated at the following location: 930 Madison Ave, Memphis, TN, 381033410.
What is the Johnna Kaye Yealy's specialty and taxonomy code?
The Johnna Kaye Yealy's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date was the 1871604488 assigned to Johnna Kaye Yealy?
The Johnna Kaye Yealy was issued its 1871604488 on 2006-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Johnna Kaye Yealy last refreshed?
The information related to the Johnna Kaye Yealy, including its address, specialty, and other relevant details, was last updated on 2015-01-30.