Healthcare Provider Details

I. General information

NPI: 1194689810
Provider Name (Legal Business Name): ABIGAIL YON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 SOUTH DR
MOUNT PLEASANT MI
48858-3257
US

IV. Provider business mailing address

1221 SOUTH DR
MOUNT PLEASANT MI
48858-3257
US

V. Phone/Fax

Practice location:
  • Phone: 810-844-4015
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number5601013669
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: