Jackie Yang, NP | |
546 S Elm St, Waconia, MN 55387-1814 | |
(651) 603-4565 | |
Not Available |
Full Name | Jackie Yang |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 546 S Elm St, Waconia, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235506247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 6627 (Minnesota) | Primary |
Entity Name | Hometown Physician Services Md Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558832055 PECOS PAC ID: 3577802859 Enrollment ID: O20190715000330 |
Entity Name | Northern Lights Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316581440 PECOS PAC ID: 6305278797 Enrollment ID: O20191125001002 |
Mailing Address | Practice Location Address |
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Jackie Yang, NP 546 S Elm St, Waconia, MN 55387-1814 Ph: (651) 603-4565 | Jackie Yang, NP 546 S Elm St, Waconia, MN 55387-1814 Ph: (651) 603-4565 |
Angela Lynn Hauth, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St Ste 200, Waconia, MN 55387 Phone: 952-442-2163 | |
Sara Maurer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 | |
Cindy Doyscher, F.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 S Maple St, Waconia, MN 55387 Phone: 952-442-2137 Fax: 952-442-5960 | |
Tracie Lynn Reamer, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 560 S Maple St Ste 200, Waconia, MN 55387 Phone: 952-442-2163 | |
Abby Louise Wenzel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 E 1st St, Waconia, MN 55387 Phone: 952-442-4437 | |
Bria M James, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1883 Sandbar Circle, Waconia, MN 55387 Phone: 952-303-1462 |