Individual
JESSY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 TAMAL PLZ STE 200, CORTE MADERA, CA 94925-1196
(415) 925-6900
Mailing address
163 MERRYDALE RD APT 14, SAN RAFAEL, CA 94903-4051
(619) 743-8380
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95025951
CA
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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