Provider Demographics
NPI:1649945825
Name:YONO, CHRISTINE JADAN (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:JADAN
Last Name:YONO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2365 CLOVERLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-0212
Mailing Address - Country:US
Mailing Address - Phone:248-990-2234
Mailing Address - Fax:
Practice Address - Street 1:2365 CLOVERLAWN AVE
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-0212
Practice Address - Country:US
Practice Address - Phone:248-990-2234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704349799363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily