Individual
MRS. KA'TREVIA YOUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 664-1300
Mailing address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 664-1300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R887363
MS
Other
Enumeration date
07/13/2014
Last updated
07/13/2014
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