Jessica Rae Young, FNP
Nurse Practitioner, Family in Staten Island, NY. Individual provider (NPI-1).
NPI number1417469602
StatusActive
Last updated in NPPESAug 28, 2024
Details
- NPI
- 1417469602
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jessica Rae Young
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2017
- Certification date
- Aug 28, 2024
- Last updated
- Aug 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 342225 | NY | Yes |
Practice location
2177 Victory BlvdStaten Island, NY 10314-6603
Phone 718-370-3730 · Fax 718-966-7483
Mailing address
229 Preston AveStaten Island, NY 10312-5510
Phone 646-823-7175
Other practice locations
4143 Richmond Ave
Staten Island, NY 10312-5637
Staten Island, NY 10312-5637
Phone 718-966-5556 · Fax 718-966-7483
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