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NPI Code Detail

MEDICARE: KARLA YOUNG NP-C

MEDICARE:   KARLA  YOUNG  NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerA006207AR

General Provider Information

NPI Number : 1568925246
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLA YOUNG NP-C
Provider Business Mailing Address
First Line : 7245 SHERIDAN RD
Second Line :
City : WHITE HALL
State : AR
Zip : 71602-3214
Country : US
Telephone Number : 870-850-8055
Fax Number : 870-850-8056
Provider Business Practice Location Address
First Line : 7245 SHERIDAN RD
Second Line :
City : WHITE HALL
State : AR
Zip : 71602-3214
Country : US
Telephone Number : 870-850-8055
Fax Number : 870-850-8056
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2019
Last Update Date : 04/10/2019

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