Individual
JESSICA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
2750 BROADWAY ST, BOULDER, CO 80304-3586
(303) 440-3082
(303) 440-3281
Mailing address
2750 BROADWAY ST STE 220, BOULDER, CO 80304-3586
(303) 440-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
77158
OK
207R00000X
Internal Medicine Physician
APN.0106137
CO
363LF0000X
Family Nurse Practitioner
Primary
77158
OK
363LF0000X
Family Nurse Practitioner
Primary
APN.0106137-C-NP
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/03/2015
Last updated
06/30/2026
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