# J R YOUNG HEALTH EQUITY INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649983388
- **Authorized official:** DR. GERALDINE Q. YOUNG DNP, FNP-BC (FOUNDER)
- **Authorized official phone:** (601) 941-7181

## Contact information

- **Practice address:** 2201 E REED RD \# 1200, GREENVILLE, MS 38703-9449
- **Practice address phone:** (601) 941-7181
- **Mailing address:** PO BOX 3939, GREENVILLE, MS 38704-3939
- **Mailing address phone:** (601) 941-7181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QP0904X | Federal Public Health Clinic/Center | — | NULL | — |
| 261QP0905X | State or Local Public Health Clinic/Center | — | NULL | — |
| 261QR1100X | Research Clinic/Center | — | NULL | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2022
- **Last updated:** 12/27/2022