Provider Demographics
NPI:1700909926
Name:YOCUM, JESSAMINE NORTON (LMSW)
Entity Type:Individual
Prefix:MS
First Name:JESSAMINE
Middle Name:NORTON
Last Name:YOCUM
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:JESSAMINE
Other - Middle Name:NORTON
Other - Last Name:YOCUM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:6 TALLYHO LN
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227-2416
Mailing Address - Country:US
Mailing Address - Phone:501-954-7922
Mailing Address - Fax:
Practice Address - Street 1:4400 SHUFFIELD DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7100
Practice Address - Country:US
Practice Address - Phone:501-686-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1957-M104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker