Individual provider · Type 1 NPI
Kelly Ray Young, CRNP
Family Nurse Practitioner · Fayetteville, TN
NPI number
1083996714
Active
Practice location
2893 Huntsville Hwy Ste B
Fayetteville, TN 37334-6681
Fax (931) 914-1257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1-117362 (AL) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1083996714
Kelly Ray Young, CRNP's National Provider Identifier is 1083996714, issued on Sep 20, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fayetteville, TN. The record was last updated on Aug 19, 2026.