Individual
ALICIA YAEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP, FPA
Contact information
Practice address
400 N PLEASANT AVE, CENTRALIA, IL 62801
(618) 436-8000
Mailing address
18415 N CLEAR LN, MOUNT VERNON, IL 62864-8924
(618) 292-9999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.016273
IL
363LF0000X
Family Nurse Practitioner
277.000562
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277.000562
IL
Other
Enumeration date
09/19/2017
Last updated
10/24/2024
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