Provider Demographics
NPI:1952006553
Name:YOUNG, HOLLY (MSN FNP-BC)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MSN FNP-BC
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:NOEL
Other - Last Name:BECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2645 CHRISTY RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-6453
Mailing Address - Country:US
Mailing Address - Phone:140-525-0135
Mailing Address - Fax:
Practice Address - Street 1:300 E 8TH ST STE 120
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-3379
Practice Address - Country:US
Practice Address - Phone:740-374-4273
Practice Address - Fax:740-376-5098
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV115887207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine