Joelle Yates
Nurse Practitioner in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1164069837
StatusActive
Last updated in NPPESOct 12, 2022
Details
- NPI
- 1164069837
- Entity type
- Individual (NPI-1)
- Name
- Joelle Yates
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2019
- Certification date
- Oct 12, 2022
- Last updated
- Oct 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71009683A | IN | Yes |
| 163W00000X | Registered Nurse | 28206835A | IN |
Practice location
11123 Parkview Plaza Dr Ste 101Fort Wayne, IN 46845-1707
Phone 260-425-6650 · Fax 260-425-6649
Mailing address
11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
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