=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790665024
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TAWNEE YELLE APRN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/05/2025
-----------------------------------------------------
Last Update Date | 09/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 77 CENTRAL AVE STE A
-----------------------------------------------------
City | ASHEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28801-2452
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-254-6684
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1066 PHILLIPS HOLLOW RD
-----------------------------------------------------
City | BYBEE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37713-2427
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-254-6684
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | 5023031
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------