Provider Demographics
NPI:1568705697
Name:YANK, JODELL RENAE (APRN-NP)
Entity Type:Individual
Prefix:
First Name:JODELL
Middle Name:RENAE
Last Name:YANK
Suffix:
Gender:F
Credentials:APRN-NP
Other - Prefix:
Other - First Name:JODELL
Other - Middle Name:RENAE
Other - Last Name:SIECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:509 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:NE
Mailing Address - Zip Code:68450-2306
Mailing Address - Country:US
Mailing Address - Phone:402-335-2988
Mailing Address - Fax:
Practice Address - Street 1:509 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:TECUMSEH
Practice Address - State:NE
Practice Address - Zip Code:68450-2306
Practice Address - Country:US
Practice Address - Phone:402-335-2988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111464363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily