Provider Demographics
NPI:1780357889
Name:YEAGER, DILLON J (PMHNP)
Entity type:Individual
Prefix:
First Name:DILLON
Middle Name:J
Last Name:YEAGER
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 PA-106
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18407-8142
Mailing Address - Country:US
Mailing Address - Phone:570-282-5189
Mailing Address - Fax:
Practice Address - Street 1:1169 PHILIPSBURG BIGLER HWY
Practice Address - Street 2:
Practice Address - City:PHILIPSBURG
Practice Address - State:PA
Practice Address - Zip Code:16866-8251
Practice Address - Country:US
Practice Address - Phone:814-343-7373
Practice Address - Fax:615-825-4178
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP023965363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health