Yang, Jackie

Yang, Jackie is an individual health care provider with primary practice located at 546 S Elm St , Waconia MN 55387-1814. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Yang, Jackie can be contacted via phone (651) 603-4565.

Contact Information

Primary practice address
546 S Elm St Waconia MN 55387-1814
Phone: (651) 603-4565
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6627 Minnesota

Profile Details

NPI number 1235506247
LBN Legal business name Yang, Jackie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2015
Last updated Aug 29th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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