Provider Demographics
NPI:1497628424
Name:YARNS, AISA (RN, RRT)
Entity type:Individual
Prefix:
First Name:AISA
Middle Name:
Last Name:YARNS
Suffix:
Gender:F
Credentials:RN, RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3224 HIDEAWAY LN
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-7990
Mailing Address - Country:US
Mailing Address - Phone:413-372-0688
Mailing Address - Fax:
Practice Address - Street 1:3224 HIDEAWAY LN
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-7990
Practice Address - Country:US
Practice Address - Phone:413-372-0688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN336295163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty