Individual
JESSE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-1155
Mailing address
506 S STEPHENS ST, BOSTON, GA 31626-3670
(229) 393-7748
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11001121
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/25/2018
Last updated
01/30/2026
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