Stacie Horne Young, NP
Nurse Practitioner, Adult Health in Gaffney, SC. Individual provider (NPI-1).
NPI number1033731237
StatusActive
Last updated in NPPESJun 14, 2022
Details
- NPI
- 1033731237
- Entity type
- Individual (NPI-1)
- Name
- Stacie Horne Young
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 11, 2020
- Certification date
- May 24, 2022
- Last updated
- Jun 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 25045 | SC | Yes |
| 363L00000X | Nurse Practitioner | 25045 | SC | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Stacie Lynn Horne (Former Name)
Practice location
139 Medical Center DrGaffney, SC 29340-4823
Phone 864-487-7186 · Fax 864-487-7246
Mailing address
Po Box 277723Atlanta, GA 30384-7723
Phone 864-560-6000
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