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NPI Code Detail

MEDICARE: MELISA YOUNG RN

MEDICARE:   MELISA  YOUNG  RN
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
1163W00000XRegistered NurseRN312096GA

General Provider Information

NPI Number : 1194264697
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISA YOUNG RN
Provider Business Mailing Address
First Line : 960 GA HIGHWAY 96
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088
Country : US
Telephone Number : 478-988-1222
Fax Number : 478-988-6847
Provider Business Practice Location Address
First Line : 503 BLUEBIRD BLVD
Second Line :
City : FORT VALLEY
State : GA
Zip : 31030-5096
Country : US
Telephone Number : 478-825-6939
Fax Number : 478-825-6792
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2017
Last Update Date : 03/02/2026

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Directions to “ MELISA YOUNG RN” Practice Location

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