Individual
MS. CONSTANCE ANN YOUNG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1326 STATE RD 100, GRANDIN, FL 32138-0129
(386) 659-2104
Mailing address
15902 NW 120TH PL, ALACHUA, FL 32615-6676
(386) 462-9535
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP3301802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3301802
ARNP LICENSE NUMBER
FL
01
—
Y088F
BC/BS NUMBER
FL
Enumeration date
02/09/2006
Last updated
07/09/2007
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