1548562283 NPI number — MS. SANDRA MAE JONES-YAPP FNP BC MSN MBA

Table of content: MS. SANDRA MAE JONES-YAPP FNP BC MSN MBA (NPI 1548562283)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548562283 NPI number — MS. SANDRA MAE JONES-YAPP FNP BC MSN MBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES-YAPP
Provider First Name:
SANDRA
Provider Middle Name:
MAE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
FNP BC MSN MBA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548562283
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/19/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1540 LAKE LANSING RD
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
LANSING
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48912-3756
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
517-913-3900
Provider Business Mailing Address Fax Number:
517-913-3901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1540 LAKE LANSING RD
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
LANSING
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48912-3756
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-913-3900
Provider Business Practice Location Address Fax Number:
517-913-3901
Provider Enumeration Date:
12/01/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  4704138622 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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