Provider Demographics
NPI:1023141397
Name:YOAKAM, JESSICA D (MD)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:D
Last Name:YOAKAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:D
Other - Last Name:STOLZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:23351 PRAIRIE STAR PKWY STE A245
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66227-7301
Mailing Address - Country:US
Mailing Address - Phone:913-676-8630
Mailing Address - Fax:913-676-8635
Practice Address - Street 1:23351 PRAIRIE STAR PKWY STE A245
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66227-7301
Practice Address - Country:US
Practice Address - Phone:913-676-8630
Practice Address - Fax:913-676-8635
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0432416207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS130706Medicare PIN