Individual provider · Type 1 NPI

Shirley Jean Young, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Leavenworth, KS

NPI number 1619661857 Active

Practice location

4101 S 4th St
Leavenworth, KS 66048-5014

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2023031138 (MO)
Psychiatric/Mental Health Registered Nurse 163WP0808X53-82333-051 (KS)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X5382333051 (KS)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1619661857

Shirley Jean Young, PMHNP-BC's National Provider Identifier is 1619661857, issued on Jun 8, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Leavenworth, KS. The record was last updated on Aug 25, 2026.