MARYISSA EILEEN YOUNG NPI 1447015714

NPI Information

  • NPI: 1447015714
  • Provider Name: MARYISSA EILEEN YOUNG
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 1205 S MISSION ST STE 4
    MT PLEASANT, MI
    ZIP 48858
  • Phone: (989) 400-4369

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NPI Details

Maryissa Eileen Young is a pediatrics nurse practitioner in Mt Pleasant, MI. Maryissa Eileen Young NPI is 1447015714. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1205 S MISSION ST STE 4
MT PLEASANT, MI
ZIP 48858-939
Phone: (989) 400-4369

The enumeration date for this NPI number is 2/15/2024 and was last updated on 9/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse4704315186MICHIGANNo
2363LP0200XNurse PractitionerPediatrics4704315186MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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