SHANNON R YOUNG APRN NPI 1184976151

NPI Information

NPI: 1184976151
Provider Name: SHANNON R YOUNG, APRN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
404 STEVE DRIVE
RUSSELL SPRINGS, KY
ZIP 42642
Phone: (270) 866-3161
Get Directions

Shannon R Young, APRN is a pediatrics nurse practitioner in Russell Springs, KY. Shannon R Young, APRN NPI is 1184976151. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

404 STEVE DRIVE
RUSSELL SPRINGS, KY
ZIP 42642-622
Phone: (270) 866-3161
Fax: (270) 866-3163

The enumeration date for this NPI number is 10/15/2012 and was last updated on 7/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	3007710	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3007710	OTHER	KENTUCKY	KY APRN LICENSE
2	7100242840	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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