Most Relevant Information
Provider Data
| NPI Number: | 1003480716 |
| Provider Name: | HEATHER YOUNG FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1-124455 |
Most Important Dates
| Enumeration Date: | 05/17/2021 |
| Last Updated: | 08/02/2023 |
Provider Practice Location
480 HONEYSUCKLE RD
DOTHAN
AL
363051156
Practice Location Phone/Fax
| Phone: | 3348361212 |
| Fax: |
Provider Mailing Location
PO BOX 5218
NICEVILLE
FL
325785218
Provider Mailing Phone/Fax
| Phone: | 4079512099 |
| Fax: |