Provider Demographics
NPI:1285042366
Name:YELVERTON, HANNAH THERESA (CNM)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:THERESA
Last Name:YELVERTON
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:WILKINSON
Other - Last Name:DUNLAP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:244 COATSLAND DR
Mailing Address - Street 2:WOMANS CLINIC
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38301-3948
Mailing Address - Country:US
Mailing Address - Phone:731-422-2884
Mailing Address - Fax:731-422-2277
Practice Address - Street 1:244 COATSLAND DR
Practice Address - Street 2:WOMANS CLINIC
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-3948
Practice Address - Country:US
Practice Address - Phone:731-422-2884
Practice Address - Fax:731-422-2277
Is Sole Proprietor?:No
Enumeration Date:2014-08-01
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18972367A00000X
TNAPN0000018972367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife