Provider Demographics
NPI:1093086274
Name:YOUNG, CORTNEY L (FNP)
Entity Type:Individual
Prefix:
First Name:CORTNEY
Middle Name:L
Last Name:YOUNG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 HOSPITAL DR STE 320
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-2157
Mailing Address - Country:US
Mailing Address - Phone:318-212-7848
Mailing Address - Fax:318-212-7855
Practice Address - Street 1:2300 HOSPITAL DR
Practice Address - Street 2:SUITE 330
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-2394
Practice Address - Country:US
Practice Address - Phone:318-212-7848
Practice Address - Fax:318-212-7855
Is Sole Proprietor?:No
Enumeration Date:2012-01-20
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP05871363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily