Individual
SYDNEY MILLER YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 957-0650
Mailing address
10415 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
(423) 390-0451
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
215787
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
35789
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2023
Last updated
03/04/2024
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