Individual
JENNIFER NICHOLSON YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
533B KEYWAY DR, FLOWOOD, MS 39232-8809
(601) 420-0717
(601) 420-0957
Mailing address
533B KEYWAY DR, FLOWOOD, MS 39232-8809
(601) 420-0717
(601) 420-0957
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4510
MS
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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