Individual
CHRISTA ANN YEAKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1809 S MAIN ST STE 100, UPLAND, IN 46989-9258
(765) 770-0650
(765) 770-0652
Mailing address
1809 S MAIN ST STE 100, UPLAND, IN 46989-9258
(765) 770-0650
(765) 770-0652
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013623A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71013623A
STATE OF INDIANA APRN PRESCRIPTIVE AUTHORITY
IN
01
—
71013623B
CSR- PRESCRIPTIVE AUTHORITY
IN
Enumeration date
03/01/2023
Last updated
04/18/2023
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