Individual
ALYSSA DAWN YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2630 GRANT LINE RD, NEW ALBANY, IN 47150-4053
(812) 945-0145
(812) 949-5435
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006037A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300000837
—
IN
05
—
7100481700
—
KY
Enumeration date
01/15/2016
Last updated
02/16/2026
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