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Organization

YANCI JO SHROYER & ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA DAVIS (BILLING SPECIALIST)
(618) 320-0157
Entity
Organization

Contact information

Practice address
1707 E MAIN ST STE 8, OLNEY, IL 62450-3156
(618) 879-2150
Mailing address
1707 E MAIN ST STE 8, OLNEY, IL 62450-3156
(618) 879-2150

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
08/02/2023
Last updated
03/12/2026
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