Basic Information
Provider Information
NPI: 1598797391
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINLEY
FirstName: YVONIA
MiddleName: JEAN
NamePrefix:  
NameSuffix:  
Credential: APN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 405981
Address2:  
City: ATLANTA
State: GA
PostalCode: 303845981
CountryCode: US
TelephoneNumber: 4797097399
FaxNumber: 4797097053
Practice Location
Address1: 102 WEST COLLEGE
Address2:  
City: OZARK
State: AR
PostalCode: 729492840
CountryCode: US
TelephoneNumber: 4796672222
FaxNumber: 4796672252
Other Information
ProviderEnumerationDate: 07/06/2006
LastUpdateDate: 12/08/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XS01039ARY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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