Individual
JANA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516
(203) 932-5711
Mailing address
192 FOSTER ST APT 3B, NEW HAVEN, CT 06511-2660
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
136553
CT
363LF0000X
Family Nurse Practitioner
Primary
7762
CT
Other
Enumeration date
07/10/2018
Last updated
08/15/2018
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