Provider Demographics
NPI:1134627730
Name:FEHR, YASMINE KING (FPMHNP, RN)
Entity type:Individual
Prefix:MS
First Name:YASMINE
Middle Name:KING
Last Name:FEHR
Suffix:
Gender:F
Credentials:FPMHNP, RN
Other - Prefix:MS
Other - First Name:YASMINE
Other - Middle Name:
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FPMHNP, RN
Mailing Address - Street 1:3800 PARK AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-2514
Mailing Address - Country:US
Mailing Address - Phone:314-577-5667
Mailing Address - Fax:314-268-4028
Practice Address - Street 1:9979 WINGHAVEN BLVD STE 202
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-3628
Practice Address - Country:US
Practice Address - Phone:636-695-2690
Practice Address - Fax:636-266-2098
Is Sole Proprietor?:No
Enumeration Date:2018-01-29
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012006431364SP0810X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0810XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Family