Individual
JENNIFER SUE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1300 CREASON RD, CORNING, AR 72422-1716
(870) 857-3399
Mailing address
PO BOX 83, CORNING, AR 72422-0083
(870) 857-3334
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A004391
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209603758
—
AR
Enumeration date
04/24/2015
Last updated
08/15/2024
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