Individual
MARLENE BEVERLY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
2782 N COBB PKWY, KENNESAW, GA 30152-3472
(929) 316-5216
Mailing address
PO BOX 100294, GAINESVILLE, FL 32610-0294
(352) 273-7584
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11005332
FL
363LF0000X
Family Nurse Practitioner
APRN11005332
FL
363LF0000X
Family Nurse Practitioner
F345345-01
NY
Other
Enumeration date
04/07/2020
Last updated
08/21/2024
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