Provider Demographics
NPI:1962817833
Name:YANKOWSKY, JULIE ROGERS (PMHNP-BC, APHN-BC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ROGERS
Last Name:YANKOWSKY
Suffix:
Gender:F
Credentials:PMHNP-BC, APHN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5644 TURNER ST
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-1417
Mailing Address - Country:US
Mailing Address - Phone:315-591-1423
Mailing Address - Fax:
Practice Address - Street 1:800 W CAMPBELL RD
Practice Address - Street 2:STUDENT SERVICES BUILDING 4TH FLOOR, (SSB 4.600)
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3021
Practice Address - Country:US
Practice Address - Phone:972-883-2575
Practice Address - Fax:972-883-6413
Is Sole Proprietor?:No
Enumeration Date:2014-06-30
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY631215163W00000X
TX1030292363LP0808X, 363LP2300X
NY401709363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care