Individual
MRS. NANCY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2225 GODBY RD STE B200, COLLEGE PARK, GA 30349-5012
(404) 941-9616
Mailing address
105 BANKS STA STE 1120, FAYETTEVILLE, GA 30214-7503
(404) 941-9616
(404) 756-8749
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN148404
GA
363LP2300X
Primary Care Nurse Practitioner
RN148404
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003131361A
—
GA
05
—
003131361B
—
GA
Enumeration date
01/03/2013
Last updated
09/03/2022
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