Provider Demographics
NPI:1124117320
Name:GENTLE, YEUK MEI (FNP)
Entity type:Individual
Prefix:MRS
First Name:YEUK
Middle Name:MEI
Last Name:GENTLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:YEUK
Other - Middle Name:MEI
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:PO BOX 20924
Mailing Address - Street 2:
Mailing Address - City:ST SIMONS ISLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31522-0524
Mailing Address - Country:US
Mailing Address - Phone:770-235-7014
Mailing Address - Fax:
Practice Address - Street 1:800 MALLERY ST APT 18
Practice Address - Street 2:
Practice Address - City:ST SIMONS ISLAND
Practice Address - State:GA
Practice Address - Zip Code:31522-4019
Practice Address - Country:US
Practice Address - Phone:770-235-7014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN049582363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily