Provider Demographics
NPI:1578903639
Name:YOCOM, JAYME LYN (APRN-CNP, ACNPC-AG)
Entity Type:Individual
Prefix:MRS
First Name:JAYME
Middle Name:LYN
Last Name:YOCOM
Suffix:
Gender:F
Credentials:APRN-CNP, ACNPC-AG
Other - Prefix:
Other - First Name:JAYME
Other - Middle Name:LYN
Other - Last Name:KRUPAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3901 SPICEWOOD SPRINGS RD # 201
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8723
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1950 BARING BLVD
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434
Practice Address - Country:US
Practice Address - Phone:775-626-2224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV824933363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner