Provider Demographics
NPI:1437800224
Name:HE, YINONG (APRN)
Entity Type:Individual
Prefix:
First Name:YINONG
Middle Name:
Last Name:HE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:YINONG
Other - Middle Name:
Other - Last Name:HE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2490 LINKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-3508
Mailing Address - Country:US
Mailing Address - Phone:407-346-0237
Mailing Address - Fax:
Practice Address - Street 1:2120 MICHIGAN AVE STE B
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-2927
Practice Address - Country:US
Practice Address - Phone:407-346-0237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11017390363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty