Provider Demographics
NPI:1619943172
Name:YARNELL, NANCY L (NP)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:L
Last Name:YARNELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2712 MIDDLEBURG DR
Mailing Address - Street 2:107
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-2415
Mailing Address - Country:US
Mailing Address - Phone:803-256-4908
Mailing Address - Fax:803-256-4900
Practice Address - Street 1:2712 MIDDLEBURG DR
Practice Address - Street 2:107
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-2415
Practice Address - Country:US
Practice Address - Phone:803-256-4908
Practice Address - Fax:803-256-4900
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3673364SW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health