Individual
KEWANZA R YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-1000
Mailing address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
909140
MS
363LW0102X
Women's Health Nurse Practitioner
909140
MS
Other
Enumeration date
08/05/2024
Last updated
08/08/2024
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