Individual
JORDAN LEE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-5437
Mailing address
101 NE 53RD ST APT 3214, OKLAHOMA CITY, OK 73105-1890
(512) 517-8012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5665
OK
Other
Enumeration date
09/26/2024
Last updated
11/24/2025
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