MEDICARE: MRS. SHERRY FRANCES YOUNG ARNP

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
1	363LF0000X	Family Nurse Practitioner	ARNP3174892	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831463421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERRY FRANCES YOUNG ARNP

Provider Business Mailing Address
First Line	:	2600 HOSPITAL DR
Second Line	:
City	:	BONIFAY
State	:	FL
Zip	:	32425-4264
Country	:	US
Telephone Number	:	850-547-8158
Fax Number	:	850-547-8090

Provider Business Practice Location Address
First Line	:	2600 HOSPITAL DR
Second Line	:
City	:	BONIFAY
State	:	FL
Zip	:	32425-4264
Country	:	US
Telephone Number	:	850-547-8158
Fax Number	:	850-547-8090

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/29/2012
Last Update Date	:	02/29/2012

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