Individual provider · Type 1 NPI

Jeanne Yeagle, P.A.

Medical Physician Assistant · Fort Drum, NY

NPI number 1902883564 Active

Practice location

11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438

Call (315) 772-0859 Map

Mailing address

261 Teneyck St, Apt 5
Watertown, NY 13601-3902

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085-002033 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1902883564

Jeanne Yeagle, P.A.'s National Provider Identifier is 1902883564, issued on Dec 27, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Drum, NY. The record was last updated on Dec 3, 2012.