Individual
STACIE HORNE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
139 MEDICAL CENTER DR, GAFFNEY, SC 29340-4823
(864) 487-7186
(864) 487-7246
Mailing address
PO BOX 277723, ATLANTA, GA 30384-7723
(864) 560-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
25045
SC
363LA2200X
Adult Health Nurse Practitioner
Primary
25045
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2020
Last updated
06/14/2022
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