Individual
MRS. JENICE JANELLE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4 WHITE BIRCH LN, GANSEVOORT, NY 12831-1142
(518) 798-3567
Mailing address
4 WHITE BIRCH LN, GANSEVOORT, NY 12831-1142
(518) 798-3567
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
559044-1
NY
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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