Provider Demographics
NPI:1700642048
Name:YOPP, LEEANNE (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:LEEANNE
Middle Name:
Last Name:YOPP
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 ORCHARD CREEK DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:AR
Mailing Address - Zip Code:72730-2814
Mailing Address - Country:US
Mailing Address - Phone:469-766-8307
Mailing Address - Fax:
Practice Address - Street 1:6035 W TRANSIT ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72704-5097
Practice Address - Country:US
Practice Address - Phone:469-766-8307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR091361163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant