Individual
DR. GERALDINE Q YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1573 JANE ST, GREENVILLE, MS 38703-7843
(601) 941-7181
(601) 941-7181
Mailing address
PO BOX 3939, GREENVILLE, MS 38704-3939
(601) 941-7181
(601) 941-7181
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R861956
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05933790
—
MS
Enumeration date
06/28/2006
Last updated
08/07/2023
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