Individual
BECKY JO YANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1400 N RITTER AVE, SUITE 120, INDIANAPOLIS, IN 46219-3052
(317) 355-1555
(317) 355-1108
Mailing address
6983 HILLSDALE CT, INDIANAPOLIS, IN 46250-2054
(317) 308-2828
(317) 576-6311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000661A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000603804
ANTHEM
IN
Enumeration date
10/16/2006
Last updated
05/27/2009
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