Provider Demographics
NPI:1366247405
Name:YODER, JAMES DANIEL (APRN)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:DANIEL
Last Name:YODER
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12518 TILLINGHAM CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-6547
Mailing Address - Country:US
Mailing Address - Phone:941-929-3610
Mailing Address - Fax:
Practice Address - Street 1:12518 TILLINGHAM CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-6547
Practice Address - Country:US
Practice Address - Phone:941-929-3610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11037705363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care