Mary Michelle Youngblood
Nurse Practitioner - Primary Care
2085 Brentwood Trl Sw
Cleveland
, Tennessee 37311-7306
Mary Michelle Youngblood
Nurse Practitioner - Primary Care
2085 Brentwood Trl Sw
Cleveland
, Tennessee 37311-7306
(423) 284-9390
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Mary Michelle Youngblood
- 2085 Brentwood Trl Sw
- Cleveland, TN
- Zip : 37311-7306
- Phone : (423) 284-9390
Second Address
- Mary Michelle Youngblood
- 2085 Brentwood Trl Sw
- Cleveland, TN
- Zip : 37311-7306
- Phone : (423) 284-9390
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 29529 | TN |
National Provider Identifier
| NPI | 1063086452 |
|---|---|
| Provider Name | Mary Michelle Youngblood |
| First Address | Cleveland, TN 37311-7306 |
| Second Address | Cleveland, TN 37311-7306 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2021 |
| Last Update Date | 19/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.