Individual provider Active NPI

Stephanie J Young, MSN, APRN, NP-C

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1871864330
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16401 Issued in TN
Practice address
620 Skyline Dr
Jackson, TN 38301-3923
Phone
(731) 541-6280
NPI assigned
Jan 14, 2012
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16401 TN Primary

Addresses

Primary practice location

620 Skyline Dr
Jackson, TN 38301-3923

Mailing address

55 Hearthstone CV
Jackson, TN 38305-6482
Phone (731) 697-0117

Other practice location 1

200 W Church St
Lexington, TN 38351-2038
Phone (731) 968-3646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120222000434 TN Practitioner - Nurse Practitioner 5698933687 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Clinic CorpGroup PAC ID 2466468558, 23 clinicians
Lexington Hospital CorporationGroup PAC ID 7719896414, 28 clinicians
Lexington Family Physicians LLCGroup PAC ID 8628120342, 2 clinicians
Emergency Medical Care Facilities PCGroup PAC ID 6103837877, 57 clinicians

Practice addresses (Care Compare)

200 W Church St
Lexington, TN 38351-2038
Phone (731) 968-3646

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16401TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shamrock Community Hospital Inc CurrentSince Sep 17, 2023 Accepting new patients
Lexington Hospital Corporation CurrentSince Sep 17, 2023 Accepting new patients
Lexington Hospital Corporation CurrentSince Sep 17, 2023 Accepting new patients
Haywood County Community Hospital Inc CurrentSince Sep 16, 2023 Accepting new patients
Lexington Family Physicians LLC CurrentSince Oct 15, 2022 Accepting new patients
Emergency Medical Care Facilities PC CurrentSince Feb 15, 2011 Accepting new patients
Lexington Clinic Corp CurrentSince Sep 16, 2023 Accepting new patients
Haywood County Community Hospital, Inc CurrentSince Sep 16, 2023 Accepting new patients
Shamrock Community Hospital Inc Current Accepting new patients
Shamrock Community Hospital Inc. CurrentSince Sep 17, 2023 Accepting new patients
Lexington Hospital Corporation Past Accepting new patients
Lexington Hospital Corporation Past Accepting new patients
Lexington Hospital Corporation Past Accepting new patients

Locations

650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834

2545 N Washington Ave
Brownsville, TN 38012
Phone (731) 307-3777

2545 N Washington Ave
Ste 2
Brownsville, TN 38012

175 Hospital Dr
Camden, TN 38320
Phone (731) 584-6135

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

200 W Church St
Lexington, TN 38351
Phone (731) 968-1812

270 W Church St
Ste A
Lexington, TN 38351
Phone (731) 968-0133

2718 Squirrel Hollow Dr
Linden, TN 37096
Phone (931) 587-2121

161 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-4261

4039 Highland St
Ste 1
Milan, TN 38358
Phone (731) 723-3668

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/henders-823c208a

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1871864330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HEARTHSTONE CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056482",
            "telephone_number": "731-697-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013923",
            "telephone_number": "731-541-6280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Church St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "TN",
            "postal_code": "383512038",
            "country_code": "US",
            "telephone_number": "731-968-3646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-14",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.