IndividualActive
Conner Young
NPI 1225899057 · Psychiatric/Mental Health Nurse Practitioner · Lawton, OK
Provider details
- NPI number
- 1225899057
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 216163 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1602 Sw 82nd St
Lawton, OK 73505-9012
Phone: (580) 536-0077
Approximate (ZIP-level) locationGet directions
Mailing address
1602 Sw 82nd St
Lawton, OK 73505-9012
Registry dates
- Enumerated
- 2024-01-18
- Last updated
- 2024-01-18
- Certified
- 2024-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.