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NPI Code Detail

MEDICARE: YANICK ROCKETT FNP-BC

MEDICARE: YANICK ROCKETT FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner71004642AIN
2363LF0000XFamily Nurse Practitioner71004642AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639505431
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANICK ROCKETT FNP-BC
Provider Business Mailing Address
First Line : 6626 E 75TH ST STE 500
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2890
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2340 E 10TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46201-2008
Country : US
Telephone Number : 317-957-2200
Fax Number : 317-957-2220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2013
Last Update Date : 06/17/2026

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Directions to “ YANICK ROCKETT FNP-BC” Practice Location

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