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YOUNGSVILLE MEDICAL LLC
NPI 1770796161
Nurse Practitioner - Family in Youngsville, LA

Active since May 08, 2007
3215 EAST MILTON AVENUE SUITE 1, YOUNGSVILLE, LA 70592(337) 857-2390(337) 857-2392 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Youngsville Medical Llc NPPES

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

YOUNGSVILLE MEDICAL LLC (NPI 1770796161) is a healthcare organization registered as a family in Youngsville, Louisiana and active in the NPI registry since May 2007. The organization lists Shelly Nash, Owner, as its authorized official.

NPPES Registry Identity

NPI1770796161
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameYOUNGSVILLE MEDICAL LLC
Location Address3215 EAST MILTON AVENUE SUITE 1Youngsville, LA 70592-5546
Mailing Address3215 East Milton Avenue, Suite 1Youngsville, LA 70592 · (337) 857-2390 · Fax (337) 857-2392
Phone(337) 857-2390
Fax(337) 857-2392
Organization SubpartNo
Authorized OfficialShelly NashOwner · (337) 857-2390
Enumeration DateMay 8, 2007
Last NPPES UpdateOctober 25, 2007
✔ NPI 1770796161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in LA · AP04512
3215 EAST MILTON AVENUE SUITE 1, Youngsville, LA 70592
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Other Identifiers 2

Medicare PIN5CY63LA
Medicare UPINQ34422LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Youngsville Medical LLC's NPI number?

The NPI number for Youngsville Medical LLC is 1770796161. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Youngsville Medical LLC located?

Youngsville Medical LLC is located at 3215 East Milton Avenue Suite 1, Youngsville, LA 70592. The listed phone number is (337) 857-2390.

What is Youngsville Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Youngsville Medical LLC was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.