Provider Demographics
NPI:1801863824
Name:JEFFREY, YVETTE GREEN (CRNA)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:GREEN
Last Name:JEFFREY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:YVETTE
Other - Middle Name:
Other - Last Name:GIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:7700 W SUNRISE BLVD
Mailing Address - Street 2:PL 31
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322
Mailing Address - Country:US
Mailing Address - Phone:954-939-6678
Mailing Address - Fax:954-851-1746
Practice Address - Street 1:5301 N DIXIE HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334
Practice Address - Country:US
Practice Address - Phone:954-939-6678
Practice Address - Fax:954-851-1746
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2213812367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL306319400Medicaid