Provider Demographics
NPI:1285491639
Name:YANCEY, NAKAYLA LEANN
Entity type:Individual
Prefix:
First Name:NAKAYLA
Middle Name:LEANN
Last Name:YANCEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 KENNETH ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38128-5909
Mailing Address - Country:US
Mailing Address - Phone:901-281-7374
Mailing Address - Fax:
Practice Address - Street 1:2901 KENNETH ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38128-5909
Practice Address - Country:US
Practice Address - Phone:901-281-7374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program