Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
YASHATE KINKIA PENDERGRASS, RN
ActiveYASHATE KINKIA PENDERGRASS, RN is a Community Health Nurse healthcare provider located in GROVETOWN, Georgia. NPI 1508325242 is currently active in the NPPES registry. Verify at CMS.
Community Health Nurse · GROVETOWN, GA
Registration Details
- NPI Number
- 1508325242
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2019 (7.4729740763652 yrs)
- Last Updated
- Mar 12, 2019
- License
-
107470 (SC)
Practice Information
- Address
-
2159 GROVE LANDING WAYGROVETOWN, GA, 308137017Browse GA providers · Browse ZIP 30813
- Phone
- 8433563374
- Primary Specialty
-
Community Health Nurse
163WC1500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.