Individual
MRS. ROCHELLE R YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, FNP-C
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
990 HIGHWAY 51 UNIT 833, MADISON, MS 39130-5039
(601) 354-4402
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
863887
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
863887
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08580270
—
MS
Enumeration date
08/11/2007
Last updated
10/06/2025
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