Provider Demographics
NPI:1124564778
Name:YOUNG, PAMELA (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5321 W BONIWOOD TURN
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-4160
Mailing Address - Country:US
Mailing Address - Phone:301-877-1111
Mailing Address - Fax:
Practice Address - Street 1:5321 W BONIWOOD TURN
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-4160
Practice Address - Country:US
Practice Address - Phone:301-877-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-06
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
VA0024194747207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
No251E00000XAgenciesHome Health