Individual
KALEIGH REBECA YOUNGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
11240 HIGHWAY 49 STE C, GULFPORT, MS 39503-4132
(228) 864-6230
Mailing address
11240 HIGHWAY 49 STE C, GULFPORT, MS 39503-4132
(228) 831-8800
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
907349
MS
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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