Provider Demographics
NPI:1639270747
Name:YOCKERS, JOHN E (CRNA)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:E
Last Name:YOCKERS
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 ARTILLERY RANGE
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-3012
Mailing Address - Country:US
Mailing Address - Phone:251-680-4250
Mailing Address - Fax:877-292-8046
Practice Address - Street 1:726 ARTILLERY RANGE
Practice Address - Street 2:
Practice Address - City:SPANISH FORT
Practice Address - State:AL
Practice Address - Zip Code:36527-3012
Practice Address - Country:US
Practice Address - Phone:251-680-4250
Practice Address - Fax:877-292-8046
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-025253367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALR92406Medicare UPIN