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NPI Code Detail

MEDICARE: D'ANDRA DANEICE YOUNG

MEDICARE: D'ANDRA DANEICE 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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerGAA-NP003515GA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner29797SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902663362
Entity Type Code : Individual
Provider Name (Legal Business Name) : D'ANDRA DANEICE YOUNG
Provider Business Mailing Address
First Line : 1601 GREENE ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29208-4001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1601 GREENE ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29208-4001
Country : US
Telephone Number : 803-777-7412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2024
Last Update Date : 02/12/2026

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Directions to “ D'ANDRA DANEICE YOUNG ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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