Individual
MARY MICHELLE YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2085 BRENTWOOD TRL SW, CLEVELAND, TN 37311-7306
(423) 284-9390
Mailing address
2085 BRENTWOOD TRL SW, CLEVELAND, TN 37311-7306
(423) 284-9390
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
29529
TN
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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