Organization
J R YOUNG HEALTH EQUITY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALDINE Q. YOUNG DNP, FNP-BC (FOUNDER)
(601) 941-7181
Entity
Organization
Contact information
Practice address
2201 E REED RD # 1200, GREENVILLE, MS 38703-9449
(601) 941-7181
Mailing address
PO BOX 3939, GREENVILLE, MS 38704-3939
(601) 941-7181
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP0904X
Federal Public Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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