person
Shannon R Young, APRN
Pediatric Nurse Practitioner in Russell Springs, Kentucky
NPI 1184976151

Shannon R Young is a Pediatric Nurse Practitioner based in Burkesville, KY and is specialized in Pediatrics. Shannon R Young practices in Russell Springs, KY and has the professional credentials of APRN. The NPI Number for Shannon R Young is 1184976151 and holds a License No. 3007710 (Kentucky).

The current practice location address for Shannon R Young is 404 Steve Drive, Russell Springs, KY and can be reached out via phone at 270-866-3161 and via fax at 270-866-3163.

Location: 404 Steve Drive, Russell Springs, KY, 42717-1080
person
Provider Profile Details
NPI Number
1184976151
Provider Name
Shannon R Young
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
404 Steve Drive, Russell Springs, KY, 42717-1080
Phone Number
270-866-3161
Fax Number
270-866-3163
Provider Enumeration Date
10/15/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
3007710 01 KY KY APRN LICENSE
7100242840 05 KY
institution
Provider Business Practice Location Address Details
Address
404 Steve Drive
City
State
Zip
42642-4622
Phone Number
270-866-3161
Fax Number
270-866-3163
person
Provider Business Mailing Address Details
Address
404 Steve Drive
City
State
Zip
42642-4622
Phone Number
270-866-3161
Fax Number
270-866-3163
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
3007710 (Kentucky)
Definition
Definition to come...
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