Individual
MRS. SHANNON M. YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8923
(270) 956-0227
Mailing address
514 ASHBURY CIR, HOPKINSVILLE, KY 42240-5284
(270) 889-9265
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1086592
KY
Other
Enumeration date
12/31/2008
Last updated
12/31/2008
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