Individual
SHAUN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
3801 W 28TH AVE, PINE BLUFF, AR 71603-4774
(870) 441-7823
Mailing address
3801 W 28TH AVE, PINE BLUFF, AR 71603-4774
(870) 441-7823
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A004617
AR
363LA2200X
Adult Health Nurse Practitioner
A004617
AR
363LG0600X
Gerontology Nurse Practitioner
A004617
AR
363LP2300X
Primary Care Nurse Practitioner
A004617
AR
Other
Enumeration date
01/24/2016
Last updated
06/16/2016
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