Individual
STEPHANIE R YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Contact information
Practice address
8360 S EMERSON AVE STE 100, INDIANAPOLIS, IN 46237-8746
(317) 859-2535
(317) 859-2540
Mailing address
8360 S EMERSON AVE, 100, INDIANAPOLIS, IN 46237-8745
(317) 859-2535
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28179328A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201389510
—
IN
Enumeration date
07/03/2016
Last updated
05/10/2022
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