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Organization
YOUNG CITY MEDICAL CARE
Active
Organization
YOUNG CITY MEDICAL CARE
Active
Other names
Jacque DeShay Young
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUE YOUNG ARNP (CEO)
(502) 644-4068
Entity
Organization
Contact information
Practice address
1904 CRUMS LN, LOUISVILLE, KY 40216-4228
(502) 644-4068
Mailing address
1904 CRUMS LN, LOUISVILLE, KY 40216-4228
(502) 644-4068
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5867P
KY
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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