Provider Demographics
NPI:1245549526
Name:YIELDING, JENNIFER ELIZABETH (OTR)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ELIZABETH
Last Name:YIELDING
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 HWY 70 EAST
Mailing Address - Street 2:D
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-6829
Mailing Address - Country:US
Mailing Address - Phone:252-633-6770
Mailing Address - Fax:877-335-6220
Practice Address - Street 1:1702 HWY 70 EAST
Practice Address - Street 2:D
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-6829
Practice Address - Country:US
Practice Address - Phone:252-633-6770
Practice Address - Fax:877-335-6220
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7444225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist