Individual
JERRY TUCK YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
623 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 932-2211
(870) 972-5152
Mailing address
623 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 932-2211
(870) 972-5152
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2350
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111019722
—
AR
Enumeration date
07/05/2006
Last updated
09/25/2024
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