Individual
CHERYL K YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1203 MEDICAL PARK DR, OXFORD, MS 38655-5327
(662) 234-7601
Mailing address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 844-1717
(662) 680-5129
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R851476
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01157581
—
MS
Enumeration date
06/06/2006
Last updated
08/18/2020
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