Individual provider · NPI-1

Yutasha Edinbyrd, Registered Nurse

Registered Nurse · Arlington, TX

NPI number1700237351
StatusActive
Last updated in NPPESJul 1, 2024

Details

NPI
1700237351
Entity type
Individual (NPI-1)
Name
Yutasha Edinbyrd
Credential
Registered Nurse
Sex
Female
Sole proprietor
No
Enumeration date
Jun 24, 2016
Certification date
Jul 1, 2024
Last updated
Jul 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse827023TXYes
163WA2000X Registered Nurse, Administrator827023TX
163WC0400X Registered Nurse, Case Management827023TX
163WC1500X Registered Nurse, Community Health827023TX
163WH0200X Registered Nurse, Home Health827023TX
163WH1000X Registered Nurse, Hospice827023TX
163WP0200X Registered Nurse, Pediatrics827023TX
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent827023TX
163WP0808X Registered Nurse, Psych/Mental Health827023TX
163WP0809X Registered Nurse, Psych/Mental Health, Adult827023TX
171M00000X Case Manager/Care Coordinator827023TX
171W00000X Contractor827023TX
172V00000X Community Health Worker––

Other names

  • Yutasha E Jackson (Former Name)

Practice location

3815 Wrentham Dr
Arlington, TX 76016-2778

Phone 817-455-2757

Mailing address

3815 Wrentham Dr
Arlington, TX 76016-2778

Phone 817-455-2757

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