Provider Demographics
NPI:1700870052
Name:YELLAND, MICHELLE JEANNE (MSN, MPH, FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:JEANNE
Last Name:YELLAND
Suffix:
Gender:F
Credentials:MSN, MPH, FNP-BC
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:JEANNE
Other - Last Name:MANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC, MSN, MPH
Mailing Address - Street 1:7090 DUSHANBE PL
Mailing Address - Street 2:APT 11
Mailing Address - City:DULLES
Mailing Address - State:VA
Mailing Address - Zip Code:20189-7091
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7090 DUSHANBE PL
Practice Address - Street 2:APT 11
Practice Address - City:DULLES
Practice Address - State:VA
Practice Address - Zip Code:20189-7091
Practice Address - Country:US
Practice Address - Phone:992-985-8090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCF956363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCS66220Medicare UPIN