Healthcare Provider Details

I. General information

NPI: 1801733563
Provider Name (Legal Business Name): ELEANOR ELIZABETH YANCEY PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 N GREEN ST
MORGANTON NC
28655-3466
US

IV. Provider business mailing address

PO BOX 622
GLEN ALPINE NC
28628-0622
US

V. Phone/Fax

Practice location:
  • Phone: 828-544-5101
  • Fax:
Mailing address:
  • Phone: 828-413-1656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5024419
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: