Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANNON JOHNSON YOUNGER, PA-C
Active Sole ProprietorMRS. SHANNON JOHNSON YOUNGER, PA-C is a Medical Physician Assistant healthcare provider located in COLUMBUS, Mississippi. NPI 1164961629 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · COLUMBUS, MS
Registration Details
- NPI Number
- 1164961629
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 16, 2017 (9.4589145049698 yrs)
- Last Updated
- Apr 24, 2020
- License
-
PA9110198 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
724 LEIGH DRCOLUMBUS, MS, 397053098Browse MS providers · Browse ZIP 39705
- Phone
- 6623283375
- Fax
- 6623283395
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in COLUMBUS, MS
| Name | Credential | NPI |
|---|---|---|
| MICHAEL SHANE HERRING | P.A. | 1902135346 |
| ALEXANDRA L BOURCY-CRANDELL | PA-C | 1902373095 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.