Shancey Young, APRN
Nurse Practitioner, Family in Flowood, MS. Individual provider (NPI-1).
NPI number1760856017
StatusActive
Last updated in NPPESDec 6, 2021
Details
- NPI
- 1760856017
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shancey Young
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2015
- Certification date
- Dec 6, 2021
- Last updated
- Dec 6, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 901422 | MS | Yes |
Practice location
2550 Flowood Dr Ste 300Flowood, MS 39232-9306
Phone 601-420-0034 · Fax 601-420-5482
Mailing address
748 Hunter HlBrandon, MS 39047-8678
Phone 601-507-7719
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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