Provider Demographics
NPI:1336948876
Name:YOST, JENNIFER OLIVIA (PA-C)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:OLIVIA
Last Name:YOST
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1455 HOLLY HEIGHTS DR APT 45
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-4768
Mailing Address - Country:US
Mailing Address - Phone:561-568-5468
Mailing Address - Fax:
Practice Address - Street 1:1455 HOLLY HEIGHTS DR APT 45
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-4768
Practice Address - Country:US
Practice Address - Phone:954-982-2177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant