Provider Demographics
NPI:1316162134
Name:DORSEY, YOLANDA (NP)
Entity type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:
Last Name:DORSEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 249
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-0249
Mailing Address - Country:US
Mailing Address - Phone:615-451-1959
Mailing Address - Fax:615-527-0141
Practice Address - Street 1:253 W MAIN ST
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-3290
Practice Address - Country:US
Practice Address - Phone:615-451-1959
Practice Address - Fax:615-527-0141
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN13638363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3342562Medicare PIN