MEDICARE: DANIELLE LYNNETTE YOUNG

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	172A00000X	Driver

General Provider Information

NPI Number	:	1285583369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE LYNNETTE YOUNG

Provider Business Mailing Address
First Line	:	3200 LENOX RD NE APT A102
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-2601
Country	:	US
Telephone Number	:	470-494-5588
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 LENOX RD NE APT A102
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-2601
Country	:	US
Telephone Number	:	470-494-5588
Fax Number	:

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

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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Directions to “ DANIELLE LYNNETTE YOUNG ” Practice Location

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