Individual
JING YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
56218 PARKWAY AVE STE B, ELKHART, IN 46516-9326
(574) 522-9922
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001198623
VA
163W00000X
Registered Nurse
28212725A
IN
163W00000X
Registered Nurse
423658
MA
163W00000X
Registered Nurse
586951-1
NY
367500000X
Certified Registered Nurse Anesthetist
093725
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28212725A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001030176
ANTHEM PROVIDER NUMBER
IN
05
—
201206900
—
IN
Enumeration date
01/09/2014
Last updated
09/22/2023
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