Provider Demographics
NPI:1659083103
Name:YARBROUGH, FARRON (RN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:FARRON
Middle Name:
Last Name:YARBROUGH
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 MEAGAN DR
Mailing Address - Street 2:
Mailing Address - City:DEATSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36022-3601
Mailing Address - Country:US
Mailing Address - Phone:334-375-2127
Mailing Address - Fax:
Practice Address - Street 1:871 WINDING WOOD DR
Practice Address - Street 2:
Practice Address - City:WETUMPKA
Practice Address - State:AL
Practice Address - Zip Code:36093-1685
Practice Address - Country:US
Practice Address - Phone:334-375-2127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-113541163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant