Healthcare Provider Details

I. General information

NPI: 1780234328
Provider Name (Legal Business Name): ADRIENNE ALANA YOUNG APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2019
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4747 LOUETTA RD
SPRING TX
77388-4420
US

IV. Provider business mailing address

4747 LOUETTA RD
SPRING TX
77388-4420
US

V. Phone/Fax

Practice location:
  • Phone: 713-514-1102
  • Fax:
Mailing address:
  • Phone: 713-514-1102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number820396
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: