Individual
JOYCE ANN YAKIMICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
701 E COUNTY LINE RD, SUITE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
(317) 885-2869
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002620A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200955330
—
IN
Enumeration date
01/17/2008
Last updated
06/15/2020
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