MEDICARE: YOLANDE VILLAIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN194029	GA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN194029	GA

General Provider Information

NPI Number	:	1093580011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOLANDE VILLAIN

Provider Business Mailing Address
First Line	:	3070 WINDWARD PLZ STE F345
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30005-8771
Country	:	US
Telephone Number	:	404-916-6619
Fax Number	:

Provider Business Practice Location Address
First Line	:	6667 VERNON WOODS DR STE B20
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-3216
Country	:	US
Telephone Number	:	678-250-8883
Fax Number	:	678-487-5837

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2023
Last Update Date	:	07/15/2025

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Directions to “ YOLANDE VILLAIN ” Practice Location

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