Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jared D Yates

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659903557

Mr. Jared D Yates is a Student in an Organized Health Care Education/Training Program in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
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Practice location Address checks out

506 S Providence Rd Apt 4
Columbia, MO 65203-4246
Phone: (816) 468-3933
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MO)

Record details

NPI number1659903557
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 7, 2020
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020
Mailing address506 S Providence Rd Apt 4, Columbia, MO 65203-4246

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