Provider Demographics
NPI:1215302781
Name:YAKEL, EMILY A (APN)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:A
Last Name:YAKEL
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:A
Other - Last Name:LYNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:6810 STATE RT 162 BOX 215
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62062-8501
Mailing Address - Country:US
Mailing Address - Phone:618-391-6405
Mailing Address - Fax:618-288-4088
Practice Address - Street 1:3417 ANDERSON HEALTHCARE DR STE 200
Practice Address - Street 2:
Practice Address - City:EDWARDSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62025-7784
Practice Address - Country:US
Practice Address - Phone:618-288-8500
Practice Address - Fax:618-288-8501
Is Sole Proprietor?:No
Enumeration Date:2015-12-09
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209013641363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner