Provider Demographics
NPI:1568901791
Name:CONNERS, YOLANDA LAVETTE (DNP, PMHNP-BC, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:LAVETTE
Last Name:CONNERS
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 PARK AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-3505
Mailing Address - Country:US
Mailing Address - Phone:901-676-2026
Mailing Address - Fax:901-676-2027
Practice Address - Street 1:5200 PARK AVE STE 202
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-3505
Practice Address - Country:US
Practice Address - Phone:901-676-2026
Practice Address - Fax:901-676-2027
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-21
Last Update Date:2023-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN22235363LP2300X, 363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner