MARYISSA EILEEN YOUNG
NPI 1447015714
Nurse Practitioner - Pediatrics in Mt Pleasant, MI

Q: What is Maryissa Young's NPI number?

The NPI number for Maryissa Young is 1447015714. It was assigned to this individual provider in the NPPES registry on February 15, 2024.

Q: What is Maryissa Young's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Maryissa Young was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 15, 2024

1205 S MISSION ST STE 4, MT PLEASANT, MI 48858(989) 400-4369 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Maryissa Eileen Young NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYISSA EILEEN YOUNG (NPI 1447015714) is an individual pediatrics provider in Mt Pleasant, Michigan, licensed in Michigan (4704315186) and active in the NPI registry since February 2024. She maintains a secondary practice location in Flint.

NPPES Registry Identity

NPI1447015714

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMARYISSA EILEEN YOUNG

Location Address1205 S MISSION ST STE 4Mt Pleasant, MI 48858-3939

Mailing Address3487 S Linden RdFlint, MI 48507-3025 · (866) 498-3909

Phone(989) 400-4369

Sole ProprietorNo

Enumeration DateFebruary 15, 2024

Last NPPES UpdateSeptember 24, 2024

NPPES CertifiedSeptember 24, 2024

✔ NPI 1447015714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MI · 4704315186

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704315186 (MI)

1205 S MISSION ST STE 4, Mt Pleasant, MI 48858

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Secondary Practice Location 1

Location 13487 S Linden RdFlint, MI 48507-3025 · Phone (866) 498-3909

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELBY FREDRICKS DNP, CPNP-PC

Nurse Practitioner (Pediatrics)

1205 S MISSION ST STE 4
MOUNT PLEASANT, MI 48858

Isabella County (989) 400-4369

SARAH DANIELLE ROBINSON MSN, FNP-C

Nurse Practitioner (Family)

1205 S MISSION ST STE 4
MOUNT PLEASANT, MI 48858

Isabella County (989) 400-4369

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryissa Young's NPI number?

The NPI number for Maryissa Young is 1447015714. It was assigned to this individual provider in the NPPES registry on February 15, 2024.

Where is Maryissa Young located?

Maryissa Young practices at 1205 S Mission St Ste 4, Mt Pleasant, MI 48858. The listed phone number is (989) 400-4369.

What is Maryissa Young's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Maryissa Young was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.