Individual
GENNIFER YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11357 LELAND GROVES DR, RIVERVIEW, FL 33579-2442
(908) 910-1238
Mailing address
11357 LELAND GROVES DR, RIVERVIEW, FL 33579-2442
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11020687
FL
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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