Provider Demographics
NPI:1235793175
Name:MCARTHY, JANE YATTA (APRN)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:YATTA
Last Name:MCARTHY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8009 MUNICH DR # TX75089
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-3887
Mailing Address - Country:US
Mailing Address - Phone:214-924-0146
Mailing Address - Fax:
Practice Address - Street 1:3334 BROADWAY BLVD STE 422
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1575
Practice Address - Country:US
Practice Address - Phone:972-979-7408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141424363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty