Provider Demographics
NPI:1558529164
Name:YELVERTON, ROBIN JAKE WORRING (RN, MSN, ARNP-BC)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:JAKE WORRING
Last Name:YELVERTON
Suffix:
Gender:F
Credentials:RN, MSN, ARNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 BAPTIST WAY STE 2B
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-2254
Mailing Address - Country:US
Mailing Address - Phone:448-227-6244
Mailing Address - Fax:850-437-8739
Practice Address - Street 1:123 BAPTIST WAY STE 2B
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2254
Practice Address - Country:US
Practice Address - Phone:448-227-6244
Practice Address - Fax:850-437-8739
Is Sole Proprietor?:No
Enumeration Date:2008-05-30
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN3110082363LC0200X
FLARNP3110082363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPI774OtherHFPSI MA
FL013049600Medicaid
FLPI773OtherHFMG MA