Healthcare Provider Details

I. General information

NPI: 1215528146
Provider Name (Legal Business Name): ALYSSA HOPE YEAGER WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2021
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210B MEDICAL ARTS BLVD STE 300
ANDERSON IN
46011
US

IV. Provider business mailing address

1210B MEDICAL ARTS BLVD STE 300
ANDERSON IN
46011
US

V. Phone/Fax

Practice location:
  • Phone: 765-400-2140
  • Fax: 765-641-0075
Mailing address:
  • Phone: 765-400-2140
  • Fax: 765-641-0075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number28244859A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: