Individual
YOLANDA A ACKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1225 GRAHAM RD, FLORISSANT, MO 63031-8014
(314) 953-6000
(314) 953-6001
Mailing address
195 COMANCHE LN, FLORISSANT, MO 63033-6304
(314) 838-4042
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
058769
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427543400
—
MO
Enumeration date
09/15/2006
Last updated
04/24/2008
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