Individual
MELISA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
503 BLUEBIRD BLVD, FORT VALLEY, GA 31030-5096
(478) 825-6939
(478) 825-6792
Mailing address
960 GA HIGHWAY 96, WARNER ROBINS, GA 31088
(478) 988-1222
(478) 988-6847
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN312096
GA
164W00000X
Licensed Practical Nurse
Primary
LPN090468
GA
Other
Enumeration date
02/16/2017
Last updated
03/02/2026
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