Provider Demographics
NPI:1609599083
Name:LIVINGSTON, YOLANDA (APRN)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2143 HIGHWAY 41 S
Mailing Address - Street 2:
Mailing Address - City:GREENBRIER
Mailing Address - State:TN
Mailing Address - Zip Code:37073-4534
Mailing Address - Country:US
Mailing Address - Phone:615-205-1277
Mailing Address - Fax:615-205-1278
Practice Address - Street 1:2143 HIGHWAY 41 S
Practice Address - Street 2:
Practice Address - City:GREENBRIER
Practice Address - State:TN
Practice Address - Zip Code:37073-4534
Practice Address - Country:US
Practice Address - Phone:615-205-1277
Practice Address - Fax:615-205-1278
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-21
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN31889363LF0000X
TN0000031889363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner