Doctor Name: | EMILY LAURA YOUNG |
NPI Number: | 1003182411 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DNP, CPNP |
License Number: | APN19222RX |
Business Practice Address: | 558 Kitchings Dr Statesville, NC - 286773588 |
Business Phone Number: | 7049781096 |
Business Fax Number: | 7044953622 |
Mailing Address: | 558 Kitchings Dr, STATESVILLE |
State: | NC |
Postal Code: | 286773588 |
Phone Number: | 7049781096 |
Fax Number: | 7044953622 |
NPI Enumeration Date: | 03/29/2012 |
NPI Last Update Date: | 12/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | APN19222RX |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |