IndividualActive
Alicia Yaeger, FNP, PMHNP, FPA
NPI 1861911026 · Psychiatric/Mental Health Nurse Practitioner · Centralia, IL
Provider details
- NPI number
- 1861911026
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP, PMHNP, FPA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209.016273 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
400 N Pleasant Ave
Centralia, IL 62801
Phone: (618) 436-8000
Approximate (ZIP-level) locationGet directions
Mailing address
18415 N Clear Ln
Mount Vernon, IL 62864-8924
Additional practice locations (1)
- 819 E Mccord StCentralia, IL 62801-3044Phone: (618) 533-1313Fax: (618) 533-3711
Registry dates
- Enumerated
- 2017-09-19
- Last updated
- 2024-10-24
- Certified
- 2024-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.