Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Michelle Youngblood, FNP

Individual provider Primary Care Nurse Practitioner · NPI 1063086452

Mary Michelle Youngblood, FNP is a Nurse Practitioner in Cleveland, Tennessee. Qualified in 2020, 6 years ago. Practices with Tennessee Oncology PLLC, a 354-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
6
Licensed in
TN
In the registry since
2021
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2085 Brentwood Trl SW
Cleveland, TN 37311-7306
Phone: (423) 284-9390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 29529 (TN)

Record details

NPI number1063086452
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 19, 2021
Last updated in NPPESMay 19, 2021
Certification dateMay 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Tennessee Oncology Pllc — 354 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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