Provider Demographics
NPI:1033522867
Name:YATES, TESSA LYNN (CNM, WHNP)
Entity Type:Individual
Prefix:MRS
First Name:TESSA
Middle Name:LYNN
Last Name:YATES
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BURNSIDE
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-1128
Mailing Address - Country:US
Mailing Address - Phone:940-723-8151
Mailing Address - Fax:940-723-8815
Practice Address - Street 1:6 BURNSIDE
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-1128
Practice Address - Country:US
Practice Address - Phone:940-723-8151
Practice Address - Fax:940-723-8815
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXCNM2073367A00000X
TXAP126014367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife