| NPI | 1861724874 |
|---|---|
| Doing Business As | JACQUE DESHAY YOUNG |
| Entity Type | Organization |
| Authorized Contact | JACQUE YOUNG CEO 502-644-4068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 5867P) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |