Provider Demographics
NPI:1649678467
Name:STEWART, YANCEY LYNN (APRN)
Entity type:Individual
Prefix:
First Name:YANCEY
Middle Name:LYNN
Last Name:STEWART
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:YANCEY
Other - Middle Name:LYNN
Other - Last Name:PAPPAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3560 LENOX RD NE STE 1230
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-4335
Mailing Address - Country:US
Mailing Address - Phone:888-250-5708
Mailing Address - Fax:470-276-7133
Practice Address - Street 1:3560 LENOX RD NE STE 1230
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-4335
Practice Address - Country:US
Practice Address - Phone:888-250-5708
Practice Address - Fax:470-276-7133
Is Sole Proprietor?:No
Enumeration Date:2014-12-10
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN170667363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily