Individual
MRS. DARLA JAN YOUNG I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NPC
Contact information
Practice address
410 N MAIN ST, PRINCETON, IN 47670-1561
(812) 386-7522
Mailing address
410 N MAIN ST, PRINCETON, IN 47670-1561
(812) 386-7522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000196A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71000196A
STATE LICENSE
IN
Enumeration date
08/29/2007
Last updated
08/29/2007
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