Healthcare Provider Details

I. General information

NPI: 1497713093
Provider Name (Legal Business Name): ALLYSON JEAN YANNI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6909 PROSPERITY CHURCH RD
HUNTERSVILLE NC
28078-6698
US

IV. Provider business mailing address

PO BOX 60447
CHARLOTTE NC
28260-0447
US

V. Phone/Fax

Practice location:
  • Phone: 704-316-2050
  • Fax: 704-316-2051
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number180450
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: