Provider Demographics
NPI:1043928765
Name:YANDELL, HANNAH (ACNPC-AG)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:
Last Name:YANDELL
Suffix:
Gender:F
Credentials:ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 W WINTERBERRY TRL
Mailing Address - Street 2:
Mailing Address - City:WHITE HOUSE
Mailing Address - State:TN
Mailing Address - Zip Code:37188-4078
Mailing Address - Country:US
Mailing Address - Phone:615-281-7931
Mailing Address - Fax:
Practice Address - Street 1:308 W WINTERBERRY TRL
Practice Address - Street 2:
Practice Address - City:WHITE HOUSE
Practice Address - State:TN
Practice Address - Zip Code:37188-4078
Practice Address - Country:US
Practice Address - Phone:615-400-7122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN32869363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care