Provider Demographics
NPI:1932965712
Name:FOX, YVETTE MARY (CRNP)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:MARY
Last Name:FOX
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:YVETTE
Other - Middle Name:MARY
Other - Last Name:JABBOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1402 NORTHAMPTON ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-4024
Mailing Address - Country:US
Mailing Address - Phone:610-333-5237
Mailing Address - Fax:
Practice Address - Street 1:850 S 5TH ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-3308
Practice Address - Country:US
Practice Address - Phone:610-776-3302
Practice Address - Fax:610-776-8359
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-28
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP029318363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner