Provider Demographics
NPI:1235749581
Name:YOUNG-FLYNN, MELISSA K (APRN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:K
Last Name:YOUNG-FLYNN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1680 CRESSY RD
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:KY
Mailing Address - Zip Code:40336-9058
Mailing Address - Country:US
Mailing Address - Phone:859-749-8768
Mailing Address - Fax:
Practice Address - Street 1:3270 BLAZER PKWY STE 102
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2115
Practice Address - Country:US
Practice Address - Phone:859-785-1030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-02
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3014944363LP0808X
KY57362363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health