Healthcare Provider Details

I. General information

NPI: 1184045957
Provider Name (Legal Business Name): BRANDY STROUP YOUNG DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2013
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1722 PINE ST
MONTGOMERY AL
36106-1103
US

IV. Provider business mailing address

791 OLD RIDGE RD N
PRATTVILLE AL
36066-1951
US

V. Phone/Fax

Practice location:
  • Phone: 334-391-7728
  • Fax: 334-834-8347
Mailing address:
  • Phone: 334-391-7728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-105210
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF0612235
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: