Provider Demographics
NPI:1861474652
Name:YATES, JOANN MCQUEEN (CNM)
Entity Type:Individual
Prefix:MS
First Name:JOANN
Middle Name:MCQUEEN
Last Name:YATES
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:25 LINDSLEY DR
Mailing Address - Street 2:STE 201A
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-4456
Mailing Address - Country:US
Mailing Address - Phone:973-998-7922
Mailing Address - Fax:973-998-7925
Practice Address - Street 1:25 LINDSLEY DR
Practice Address - Street 2:SUITE 201A
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-4455
Practice Address - Country:US
Practice Address - Phone:973-998-7922
Practice Address - Fax:973-998-7925
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2016-04-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25ME00017401367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife