Provider Demographics
NPI:1093035552
Name:YATES, JAMIE (CD(DONA))
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:YATES
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 MYRTLE AVE APT 2B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-1470
Mailing Address - Country:US
Mailing Address - Phone:646-552-7458
Mailing Address - Fax:
Practice Address - Street 1:609 MYRTLE AVE APT 2B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-1470
Practice Address - Country:US
Practice Address - Phone:646-552-7458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula