Jennifer Sue Young
Nurse Practitioner - Pediatrics
1300 Creason Rd
Corning
, Arkansas 72422-1716
Jennifer Sue Young
Nurse Practitioner - Pediatrics
1300 Creason Rd
Corning
, Arkansas 72422-1716
(870) 857-3399
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Jennifer Sue Young
- 1300 Creason Rd
- Corning, AR
- Zip : 72422-1716
- Phone : (870) 857-3399
Second Address
- Jennifer Sue Young
- 1300 Creason Rd
- Corning, AR
- Zip : 72422-1716
- Phone : (870) 857-3399
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | A004391 | AR |
National Provider Identifier
| NPI | 1003203274 |
|---|---|
| Provider Name | Jennifer Sue Young |
| First Address | Corning, AR 72422-1716 |
| Second Address | Corning, AR 72422-1716 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2015 |
| Last Update Date | 26/04/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 209603758 | (05) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.