Provider Demographics
NPI:1407952377
Name:YOUNG, ELIZABETH WILLIAMSON (RN)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:WILLIAMSON
Last Name:YOUNG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:MAYSE
Other - Last Name:WILLIAMSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:249 BILLINGSLEY RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-1003
Mailing Address - Country:US
Mailing Address - Phone:704-432-0824
Mailing Address - Fax:
Practice Address - Street 1:1423 DEER FOREST DR
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715-7738
Practice Address - Country:US
Practice Address - Phone:803-802-8748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCR101929163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health