Individual
HANNAH BLEDSOE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP,RN
Contact information
Practice address
101 PROGRESS PKWY, SULLIVAN, MO 63080-2359
(888) 403-1071
(573) 468-2567
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2019037868
MO
163W00000X
Registered Nurse
233131
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
2019037888
MO
Other
Enumeration date
09/30/2019
Last updated
04/01/2021
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