Provider Demographics
NPI:1023816121
Name:AKRAM, JESSICA FAITH YEAGER (NP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:FAITH YEAGER
Last Name:AKRAM
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 S MODOC AVE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-7780
Mailing Address - Country:US
Mailing Address - Phone:719-429-1867
Mailing Address - Fax:
Practice Address - Street 1:2860 CREEKSIDE CIR
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-8442
Practice Address - Country:US
Practice Address - Phone:541-779-8367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10040160363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily