Individual
JENNIFER LYNNE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-4848
(920) 288-4956
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 490-9046
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
01083450A
IN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
85275
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2014
Last updated
02/05/2025
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