Provider Demographics
NPI:1760953863
Name:PATEL, YASHMI GAUTAM-CHETAN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:YASHMI
Middle Name:GAUTAM-CHETAN
Last Name:PATEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4429 HEATH CT
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3874
Mailing Address - Country:US
Mailing Address - Phone:832-483-5603
Mailing Address - Fax:
Practice Address - Street 1:4708 ALLIANCE BLVD STE 770
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5350
Practice Address - Country:US
Practice Address - Phone:972-526-0910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139208363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
F09180963OtherFNP CERTIFICATION