Provider Demographics
NPI:1093197667
Name:YELVERTON, DULCIE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:DULCIE
Middle Name:
Last Name:YELVERTON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:DULCIE
Other - Middle Name:M
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1209 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32347-2037
Mailing Address - Country:US
Mailing Address - Phone:850-843-1834
Mailing Address - Fax:
Practice Address - Street 1:1209 N CENTER ST
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:FL
Practice Address - Zip Code:32347-2037
Practice Address - Country:US
Practice Address - Phone:850-843-1834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-19
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9306940363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015402200Medicaid
FLIG603ZMedicare PIN