Individual
JILLIAN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2715 N 3RD ST, PHOENIX, AZ 85004-1106
(602) 808-2800
(602) 808-2799
Mailing address
1061 N 47TH DR, SHOW LOW, AZ 85901-3144
(602) 570-6001
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP11469
AZ
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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