Provider Demographics
NPI:1760379416
Name:YINGLING, NICOLE (LM, CPM)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:
Last Name:YINGLING
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 ALEXANDRIA WELLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:AL
Mailing Address - Zip Code:36250-6287
Mailing Address - Country:US
Mailing Address - Phone:256-405-9939
Mailing Address - Fax:
Practice Address - Street 1:1940 ALEXANDRIA WELLINGTON RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:AL
Practice Address - Zip Code:36250-6287
Practice Address - Country:US
Practice Address - Phone:256-405-9939
Practice Address - Fax:256-573-1126
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0037176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife