Provider Demographics
NPI:1013713353
Name:YANCEY, JASMINE MEGAN
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:MEGAN
Last Name:YANCEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-5306
Mailing Address - Country:US
Mailing Address - Phone:304-445-8018
Mailing Address - Fax:
Practice Address - Street 1:200 1ST AVE
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-5306
Practice Address - Country:US
Practice Address - Phone:304-445-8018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant