Individual
CHARITY YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6 FERRELL RD, ROSICLARE, IL 62982-1052
(618) 285-6634
Mailing address
985 MOUNT PLEASANT RD, BUNCOMBE, IL 62912-3311
(618) 512-5933
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.034304
IL
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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