Healthcare Provider Details

I. General information

NPI: 1730078536
Provider Name (Legal Business Name): BRITTANY MARIE YOUNG FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRITTANY BRACKE

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 NW MOCK AVE STE B
BLUE SPRINGS MO
64015-3122
US

IV. Provider business mailing address

14700 E 42ND ST S
INDEPENDENCE MO
64055-4773
US

V. Phone/Fax

Practice location:
  • Phone: 816-945-9596
  • Fax:
Mailing address:
  • Phone: 816-836-1096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2025025725
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: