Provider Demographics
NPI:1720204407
Name:YAHR, JENNIFER GERMAINE (APRN, CS)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:GERMAINE
Last Name:YAHR
Suffix:
Gender:F
Credentials:APRN, CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 BUCKNAM RD
Mailing Address - Street 2:SUITE 1 G
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-1208
Mailing Address - Country:US
Mailing Address - Phone:207-781-1566
Mailing Address - Fax:207-781-1568
Practice Address - Street 1:5 BUCKNAM RD
Practice Address - Street 2:SUITE 1 G
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1208
Practice Address - Country:US
Practice Address - Phone:207-781-1566
Practice Address - Fax:207-781-1568
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME014154163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME008193OtherHARVARD PILGRAM
ME005908OtherANTHEM
ME008193OtherHARVARD PILGRAM