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Individual

MELISSA J YANCKELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
8402 HARCOURT RD STE 402, INDIANAPOLIS, IN 46260-2053
(317) 338-9450
Mailing address
8402 HARCOURT RD STE 402, INDIANAPOLIS, IN 46260-2053

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71008254A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71008254A
IN

Other

Enumeration date
09/10/2018
Last updated
05/18/2022
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