| Doctor Name: | SHIRLEY FAYE YOUNG |
| NPI Number: | 1265860688 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 233301 |
| Business Practice Address: | 639 E Johnson Ave Pensacola, FL - 325143902 |
| Business Phone Number: | 8504175834 |
| Business Fax Number: | |
| Mailing Address: | 639 E Johnson Ave, PENSACOLA |
| State: | FL |
| Postal Code: | 325143902 |
| Phone Number: | 8504175834 |
| Fax Number: | |
| NPI Enumeration Date: | 10/22/2013 |
| NPI Last Update Date: | 10/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 233301 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |