Individual
REGINA M YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
601 FOOTE ST, CORINTH, MS 38834-4834
(662) 287-4424
(662) 287-2070
Mailing address
PO BOX 839, CORINTH, MS 38835-0839
(662) 286-9883
(662) 284-9836
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R803797
MS
Other
Enumeration date
03/10/2008
Last updated
02/15/2012
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