Individual
DANIEL T YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
122 SOUTHERN DR, ASHDOWN, AR 71822-8668
(870) 600-4050
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01914
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157468758
—
AR
01
—
5Y728
BCBS
AR
Enumeration date
05/13/2006
Last updated
05/16/2025
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