Provider Demographics
NPI:1902586423
Name:SOWA, MEE YOUNG (DNP, FNP-BC,PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:MEE YOUNG
Middle Name:
Last Name:SOWA
Suffix:
Gender:F
Credentials:DNP, FNP-BC,PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 LAKE DR
Mailing Address - Street 2:
Mailing Address - City:RUCKERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22968-3195
Mailing Address - Country:US
Mailing Address - Phone:434-409-5510
Mailing Address - Fax:
Practice Address - Street 1:5322 LADYSMITH RD
Practice Address - Street 2:
Practice Address - City:RUTHER GLEN
Practice Address - State:VA
Practice Address - Zip Code:22546-1325
Practice Address - Country:US
Practice Address - Phone:804-547-4125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-19
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024181758363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily