Yvrose Jean, MSN, APRN, FNP-BC
Individual provider Active NPI Nurse Practitioner · Dacula, GA
NPI 1952017642 · NPPES record last updated Jan 25, 2023
Key facts
- NPI
- 1952017642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN159003 (GA)
- Practice address
- 845 Grand Ivey PL
Dacula, GA 30019-7894 - Phone
- (678) 362-2807
- NPI assigned
- Jan 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN159003 | GA | Yes |
Addresses
Primary practice location
845 Grand Ivey PL
Dacula, GA 30019-7894
Mailing address
845 Grand Ivey PL
Dacula, GA 30019-7894
Phone (678) 362-2807
Other providers in Dacula, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.